By Philip B. Mead M.D. (auth.), William J. Ledger (eds.)
The purpose to organize this quantity on antibiotics for the health practitioner taking care of ladies was once dependent upon the editor's conception that the subject material had by no means been totally built for the obstetrician-gynecologist. such a lot textbooks of infectious ailment have a small part dedicated to antibiotics, which has little relevance for the health care provider taking good care of post-operative or post-partum infections. easy antibiotic pharmacology is defined and there's a reflex prohibition of antibiotics for the pregnant girl. safely, the reader assumes that the authors themselves don't take care of ladies with bacterial infections of the pelvis. contemporary texts in infectious ailment in obstetrics gynecology were little larger. even though the point of interest has been extra clini cally orientated, area standards have too usually stored the discussions at a superficial point. a complete concentration upon antibiotics during this quantity gets rid of the restraints of house in previous courses. the best gift in my activity as editor of this quantity is expounded to the standard of the person authors. they vary from former scholars, to con transitority colleagues, to revered friends in infectious affliction. because the caliber of this quantity is expounded to the sum overall of the person chapters, I desire to remark approximately all the individuals. Philip Mead from the college of Vermont is an previous good friend, who brings to the query of prophylactic antibiotics, his large scientific event and encyclopedic knowledge.
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Additional resources for Antibiotics in Obstetrics and Gynecology
Gall SA, Hill GB, Creasman WT: The efficacy of prophylactic antibiotic in radical gynecologic surgery. , May 31,1980 31. Gibbs RS, Weinstein AJ: Bacteriologic effects of prophylactic antibiotics in cesarean section. Am J Obstet GynecoI126:226, 1976 32. Gibson CD, Jr, Thompson WC, Jr: The response of burn wound staphylococci to alternating programmes of antibiotic therapy. Antibiot Annu 1955-56, p. 32 33. Glover MW, Nagell JR: The effect of prophylactic ampicillin on pelvic infection following vaginal hysterectomy.
Thomas FE, Leonard JM, Alford RM: Serious infections due to hospital-acquired multiple-resistant Serratia marcescens. Clin. Res 23:53A, 1975 93. Thomsen RJ: Prophylactic antibiotics for vaginal surgery: a historical addendum. Am J Obstet GynecoI125:270, 1976 94. Turner SJ: The effect of penicillin vaginal suppositories on morbidity in vaginal hysterectomyand on the vaginal flora. Am J Obstet GynecoI60:806, 1950 95. Weinstein L: Infective endocarditis prophylaxis in penicillin-sensitive patients.
The risks of prophylactic antibiotic therapy thus far appear to be small, but diligent monitoring for such toxicity remains essential. More studies assessing the total use of antibiotics on a service, and those performing meticulous epidemiologic surveillance are urgently needed. Finally, it should be stressed that antibiotic prophylaxis is only one component of the care of the gynecologic patient, and certainly not the most important one. Our goal should be the performance of indicated surgery, skillfully carried out in the operating room, in patients whose pre- and postoperative courses are managed by intelligent, conscientious, compassionate physicians.
Antibiotics in Obstetrics and Gynecology by Philip B. Mead M.D. (auth.), William J. Ledger (eds.)