Skip to Main Content

++

GYN SURGERY: PREOPERATIVE CONSIDERATIONS

++

Antibiotic Prophylaxis for Gynecologic Procedures

++

  • Antimicrobial Prophylactic Regimens by Procedure (Table 2-1)

++
Table Graphic Jump Location
TABLE 2-1

ANTIMICROBIAL PROPHYLACTIC REGIMENS BY PROCEDURE

++
Key Points to Remember
++

  • Antibiotics must be given within 1 hour prior to skin incision. Anesthesia induction is a convenient time

  • Give repeat dose of antibiotic if

    • Long procedure (over one to two times antibiotics half-life; ex: re-dose cefazolin at 3 hours)

    • EBL over 1500 cc

  • Neither treatment for several days before a procedure nor subsequent doses after procedure are indicated for prophylaxis

  • Prophylactic antibiotics are recommended for induced abortion/dilation and curettage (D&C) even if negative gonorrhea/chlamydia (GC/CT) testing

++

Endocarditis Prophylaxis

++

  • Cardiac conditions associated with the highest risk of adverse outcomes from endocarditis that require antibiotic prophylaxis are shown in Table 2-2. Suggested antibiotics are listed in Table 2-3

++
Table Graphic Jump Location
TABLE 2-2

CARDIAC CONDITIONS REQUIRING ENDOCARDITIS PROPHYLAXIS

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.