Short-term systemic prophylaxis with cefoxitin and doxycycline in colorectal surgery: A prospective, randomized study

作者: Lars Ivarsson , Nils Darle , Jan Gunnar Kewenter , Staffan Seeberg , Ragnar Norrby

DOI: 10.1016/0002-9610(82)90521-9

关键词: MedicineDoxycyclineColorectal surgeryAnastomotic leakageSurgeryCefoxitinProspective randomized studyPostoperative infectionAntibiotic prophylaxisInflammatory bowel disease

摘要: Abstract The efficacy of cefoxitin or doxycycline as antibiotic prophylaxis in colorectal surgery was compared 102 elective operations. Both drugs were used perioperatively only. Cefoxitin 55 cases and 47. Ten patients the group 4 had wound infections. Three intraabdominal abscesses seen, one after two prophylaxis. All three due to anastomotic leakage. Bacteriologic studies revealed no negative ecologic effects short-term did protect against serious infectious complications. extended spectrum provided added benefit Patients with inflammatory bowel disease treated preoperatively salicylazosulfapyridine run a greater risk postoperative infection spite

参考文章(12)
T A Hyde, S S Raphael, Deaf-mutism and type-II hyperlipoproteinaemia. The Lancet. ,vol. 1, pp. 892- 892 ,(1970)
A Digranes, T Bjerkeset, Systemic prophylaxis with metronidazole (Flagyl) in elective surgery of the colon and rectum. Surgery. ,vol. 87, pp. 560- 566 ,(1980)
Lopez-Mayor Jf, Polk Hc, Postoperative wound infection: a prospective study of determinant factors and prevention. Surgery. ,vol. 66, pp. 97- 103 ,(1969)
S Vallance, Y Arabi, B Jones, M R B Keighley, Importance of adding neomycin to metronidazole for bowel preparation. Journal of the Royal Society of Medicine. ,vol. 73, pp. 238- 240 ,(1980) , 10.1177/014107688007300405
JAMES S. CLARKE, ROBERT E. CONDON, JOHN G. BARTLETT, SHERWOOD L. GORBACH, RONALD L NICHOLS, SHIGERU OCHI, Gregary H. Cross, H. Earl Gordon, Herbert Greenlee, George L. Irvin, Willard C. Johnson, Paul H. Jordan, Marvin Kaplan, Sergio Mandiola, William J. Schulte, F. Kristian Storm, William Storz, Preoperative oral antibiotics reduce septic complications of colon operations: results of prospective, randomized, double-blind clinical study. Annals of Surgery. ,vol. 186, pp. 251- 259 ,(1977) , 10.1097/00000658-197709000-00003
Clare Higgens, R. N. Allan, M. R. B. Keichley, Y. Arabi, J. Alexander-Williams, Sepsis following operation for inflammatory intestinal disease. Diseases of The Colon & Rectum. ,vol. 23, pp. 102- 105 ,(1980) , 10.1007/BF02587605
H. HARLAN STONE, BONNIE B. HANEY, LAURA D. KOLB, CAROL E. GEHEBER, C. ANN HOOPER, Prophylactic and Preventive Antibiotic Therapy: Timing, Duration and Economics Annals of Surgery. ,vol. 189, pp. 691- 699 ,(1979) , 10.1097/00000658-197906000-00004
M.R.B Keighley, Y Arabi, J Alexander-Williams, Denise Youngs, D.W Burdon, COMPARISON BETWEEN SYSTEMIC AND ORAL ANTIMICROBIAL PROPHYLAXIS IN COLORECTAL SURGERY The Lancet. ,vol. 313, pp. 894- 897 ,(1979) , 10.1016/S0140-6736(79)91373-4
H. HARLAN STONE, C. ANN HOOPER, LAURA D. KOLB, CAROL E. GEHEBER, E. JANELLE DAWKINS, Antibiotic prophylaxis in gastric, biliary and colonic surgery. Annals of Surgery. ,vol. 184, pp. 443- 452 ,(1976) , 10.1097/00000658-197610000-00007
H. HÖJER, J. WETTERFORS, Systemic prophylaxis with doxycycline in surgery of the colon and rectum. Annals of Surgery. ,vol. 187, pp. 362- 368 ,(1978) , 10.1097/00000658-197804000-00003