Antibiotic Prophylaxis in Surgery: Summary of a Swedish-Norwegian Consensus Conference

Norrby, S. Ragnar; Alestig, Kjell; Andersen, Knut-Jan; Beermann, B; Bergman, Bo; Burman, Lars; Brandt, Christian; Danielsen, Stine A.; Evjensvold, Jens; Flateland, I; Giercksky, E.; Gjønnaess, H; Holm, Stig E.; Jóhannsson, Magnús; Lippe, E von der; Lundholm, Rolf; Malmfors, Gerhard; Odenholt, Inga; Raab, Yngve; Rasmussen, I; Reinnel, H.; Risberg, Bo; Sanzén, Lennart; Sandberg, Torsten; Skribeland, N. O.; Steinbakk, Martin; Ståhle, Elisabeth; Trolin, Ingrid; Vaage, Sigmund; Walløe, Anders; Wesenberg, Gro Ramsten; Victor, Arne; Viggen, Bjørg; Wølner‐Hanssen, Pål; Qun-Ying, Y.

doi:10.1080/00365549850161089

Cited by 34 publications

(1 citation statement)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, there is growing evidence that a single dose or two doses has equal or even better effect than multiple doses of antibiotic prophylaxis (for one day or more than one day) for the prevention of post-caesarean infection also in low resource settings [25][26][27][28]. It is generally agreed that in most surgical cases, antibiotic prophylaxis should be given as a single dose and in no case should the prophylaxis time duration exceed 24 h [29]. Multiple doses of antibiotic prophylaxis will only increase the workload of HCPs, medical expense, and promote antibiotics resistance.…”

Section: Discussionmentioning

confidence: 99%

Antibiotic Prescribing in Connection to Childbirth: An Observational Study in Two Districts in Lao PDR

et al. 2022

View full text Add to dashboard Cite

Overuse and misuse of antibiotics has frequently been reported for obstetric conditions and procedures, which may impact both the mother and the unborn baby and increase antibiotic resistance. This study aimed to investigate the antibiotic prescribing pattern in connection to childbirth in two districts in Lao PDR. It is a cross-sectional observational study. Antibiotic prescription data related to childbirth was collected via reviews of medical records in two district hospitals and five health centers in Lao PDR from September 2019 to November 2020. In total, antibiotic prescription data for 1777 women were extracted from their medical records. It was found that all women received antibiotics during in-patient care irrespective of delivery mode. When in hospital, 85.5% of the women who underwent a caesarean section got antibiotic treatment for 5 days and women who had a vaginal delivery usually had antibiotic treatment for one day or less. All the women got oral antibiotics for an additional 4–5 days upon discharge. Antibiotic prescription rate in connection to childbirth was very high in comparison with the WHO guidelines, and antibiotics were used extensively in the participating health facilities. Interventions to guide appropriate prescribing behavior in relation to childbirth are urgently needed in Lao PDR.

show abstract