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.
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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.
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