Document Detail


Short versus long course of prophylactic antibiotics.
MedLine Citation:
PMID:  7048929     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The use of prophylactic antibiotics to reduce post-cesarean section febrile morbidity has been advocated since 1968. Although this approach has theoretical and actual disadvantages, all but one study found a reduction in febrile morbidity when prophylactic antibiotics were used. An unresolved question was the duration of antibiotic therapy. A double-blind randomized study compared a long course of ampicillin (3 days) to a short course of ampicillin (three doses) to placebo. The long course of prophylactic antibiotics reduced febrile morbidity significantly better (p less than 0.025) than the short course, and hospital stay was also significantly reduced when compared to placebo (significance, p less than 0.01). A longer course (3 days) of antibiotics was superior to a short course (three doses) in situations in which prophylactic antibiotics were used.
Authors:
J P Elliott; R K Freeman; W Dorchester
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  143     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1982 Aug 
Date Detail:
Created Date:  1982-09-10     Completed Date:  1982-09-10     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  740-4     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Adult
Ampicillin / administration & dosage
Anti-Bacterial Agents / administration & dosage*
Cesarean Section* / adverse effects
Clinical Trials as Topic
Double-Blind Method
Female
Fever / prevention & control
Hospitalization
Humans
Injections, Intravenous
Pregnancy
Premedication*
Random Allocation
Time Factors
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 69-53-4/Ampicillin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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