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Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0b013e31826446ba
Original Articles

Surgeon Practice Patterns for Antibiotic Prophylaxis in Gynecologic Surgery

Schimpf, Megan O. MD*; Morrill, Michelle Y. MD; Margulies, Rebecca U. MD; Ward, Renée M. MD§; Carberry, Cassandra L. MD, MS; Sung, Vivian W. MD, MPH

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Objective: To assess surgeon practice patterns for antibiotic prophylaxis in gynecologic surgery.

Methods: A survey was distributed at the 2011 annual scientific meeting of the Society of Gynecologic Surgeons regarding antibiotic prophylaxis practices.

Results: The response rate was 51%. Most surgeons did not use antibiotic prophylaxis for dilation and curettage without products of conception, hysteroscopy, and loop electrocautery excision procedure/cone biopsy. For laparoscopy without graft placement, 45.9% did not use prophylaxis. Prophylaxis was common for hysterectomy. For midurethral slings, 8.2% did not use prophylaxis. When graft material was used in prolapse surgery, at least 93% of surgeons administered some form of antibiotic prophylaxis. Only 70% of respondents prescribe antibiotic prophylaxis for hysterectomy consistent with recommendations from the American College of Obstetricians and Gynecologists, whereas 78% are consistent with specifications from the Joint Commission.

Conclusions: Wide variability exists in antibiotic prophylaxis in gynecologic surgery. Surgeon preference or local hospital policies affect choice of prophylaxis less than 14.9% of the time.

© 2012 by Wolters Kluwer Health | Lippincott Williams & Wilkins


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