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ACOG Practice Bulletin No. 195

Prevention of Infection After Gynecologic Procedures

doi: 10.1097/AOG.0000000000002670
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Surgical site infection remains the most common complication of gynecologic procedures. Reducing surgical site infections has become a priority in the United States as part of a strong national commitment to measuring processes and improving outcomes of care for surgery. Implementing programs to reduce surgical site infections requires a collaborative approach that involves clinicians, nurses, and staff. The purpose of this document is to review the recommended interventions, including antibiotic prophylaxis, used to prevent infection after gynecologic procedures.

Number 195, June 2018

(Replaces Practice Bulletin Number 104, May 2009, and Committee Opinion Number 571, September 2013)

Committee on Practice Bulletins—Gynecology

This Practice Bulletin was developed by the Committee on Practice Bulletins—Gynecology with the assistance of David E. Soper, MD, and David Chelmow, MD.

Copyright June 2018 by the American College of Obstetricians and Gynecologists. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, posted on the Internet, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the publisher.

Requests for authorization to make photocopies should be directed to Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923, (978) 750–8400.

Prevention of infection after gynecologic procedures. ACOG Practice Bulletin No. 195. American College of Obstetricians and Gynecologists. Obstet Gynecol 2018;131:e172–89.

(Literature search dates: January 2000–January 2018)

This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary. This information should not be considered as inclusive of all proper treatments or methods of care or as a statement of the standard of care. It is not intended to substitute for the independent professional judgment of the treating clinician. Variations in practice may be warranted when, in the reasonable judgment of the treating clinician, such course of action is indicated by the condition of the patient, limitations of available resources, or advances in knowledge or technology. The American College of Obstetricians and Gynecologists reviews its publications regularly; however, its publications may not reflect the most recent evidence. Any updates to this document can be found on www.acog.org or by calling the ACOG Resource Center.

While ACOG makes every effort to present accurate and reliable information, this publication is provided “as is” without any warranty of accuracy, reliability, or otherwise, either express or implied. ACOG does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. Neither ACOG nor its officers, directors, members, employees, or agents will be liable for any loss, damage, or claim with respect to any liabilities, including direct, special, indirect, or consequential damages, incurred in connection with this publication or reliance on the information presented.

All ACOG Committee members and authors have submitted a conflict of interest disclosure statement related to this published product. Any potential conflicts have been considered and managed in accordance with ACOG’s Conflict of Interest Disclosure Policy. The ACOG policies can be found on acog.org. For products jointly developed with other organizations, conflict of interest disclosures by representatives of the other organizations are addressed by those organizations. The American College of Obstetricians and Gynecologists has neither solicited nor accepted any commercial involvement in the development of the content of this published product.

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© 2018 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.