Antibiotic prophylaxis in surgery. (SIGN Guideline No 104)
Antibiotic prophylaxis in surgery. (SIGN Guideline No 104)
Antibiotic prophylaxis in surgery. (SIGN Guideline No 104)
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Operation Recommendation Odds Ratio NNT Outcome Evidence level<br />
AbDomen<br />
gynaecological<br />
D <strong>Antibiotic</strong> <strong>prophylaxis</strong> should be considered 4 120<br />
manual removal of the<br />
placenta<br />
4 120<br />
<strong>Antibiotic</strong> <strong>prophylaxis</strong> is recommended for patients with<br />
proven chlamydia or gonorrhoea <strong>in</strong>fection<br />
D<br />
++ 121 1<br />
upper genital tract<br />
<strong>in</strong>fection<br />
<strong>in</strong>duced abortion A <strong>Antibiotic</strong> <strong>prophylaxis</strong> is highly recommended 0.58 25<br />
A <strong>Antibiotic</strong> <strong>prophylaxis</strong> is not recommended 1 ++122<br />
evacuation of <strong>in</strong>complete<br />
miscarriage<br />
5 <strong>in</strong>DicAtions for surgicAl <strong>Antibiotic</strong> prophylAxis<br />
A <strong>Antibiotic</strong> <strong>prophylaxis</strong> is not recommended 1 ++123<br />
<strong>in</strong>trauter<strong>in</strong>e contraceptive<br />
device (IUCD) <strong>in</strong>sertion<br />
urogenital<br />
+124, 125<br />
transrectal prostate biopsy A <strong>Antibiotic</strong> <strong>prophylaxis</strong> is recommended 0.76 27 Bacteriuria I<br />
1 ++126<br />
ur<strong>in</strong>ary tract<br />
<strong>in</strong>fection<br />
shock wave lithotripsy A <strong>Antibiotic</strong> <strong>prophylaxis</strong> is recommended 0.45 28<br />
0.24 4 urosepsis 1 +127<br />
<strong>Antibiotic</strong> <strong>prophylaxis</strong> is recommended for patients with<br />
stone ≥ 20 mm or with pelvicalyceal dilation<br />
b<br />
percutaneous<br />
nephrolithotomy<br />
1 +127<br />
oral qu<strong>in</strong>olone for one week preoperatively is<br />
recommended<br />
b<br />
1 + ,2 +128,129<br />
Bacteriuria<br />
Post-operative<br />
fever<br />
10<br />
-15<br />
0.13<br />
2.75<br />
b <strong>Antibiotic</strong> <strong>prophylaxis</strong> is recommended<br />
endoscopic ureteric stone<br />
fragmentation/removal<br />
1 ++130<br />
Bacteriuria<br />
Infective<br />
complications<br />
A <strong>Antibiotic</strong> <strong>prophylaxis</strong> is highly recommended 0.35 8<br />
transurethral resection of the<br />
prostate<br />
21
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