Document Detail


The effect of peritoneal lavage with tetracycline solution on postoperative infection. A prospective, randomized, clinical trial.
MedLine Citation:
PMID:  3510839     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A prospective randomized trial was performed to determine the value of tetracycline lavage in addition to systemic antibiotic prophylaxis in 159 patients undergoing elective and emergency intestinal operations. Tetracycline lavage was associated with a significant overall reduction in postoperative infection rates in 25 of 74 patients (34 percent) receiving saline lavage compared with 15 of 85 patients (18 percent) having tetracycline lavage (P less than 0.05). Tetracycline lavage was associated with a significant reduction in the counts of aerobic and anaerobic bacteria in the peritoneal fluid at the end of the operation (P less than 0.05 and P less than 0.01, respectively) and with a significant reduction of aerobes 24 hours postoperatively (P less than 0.02). Tetracycline lavage would appear to confer clinical benefit in preventing postoperative infection.
Authors:
S H Silverman; N S Ambrose; D J Youngs; A F Shepherd; A P Roberts; M R Keighley
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  29     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  1986 Mar 
Date Detail:
Created Date:  1986-03-24     Completed Date:  1986-03-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  165-9     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Bacterial Infections / prevention & control*
Clinical Trials as Topic
Colonic Diseases / surgery
Female
Humans
Intestinal Diseases / surgery
Irrigation
Male
Middle Aged
Prospective Studies
Random Allocation
Sodium Chloride
Surgical Wound Infection / prevention & control*
Tetracycline / therapeutic use*
Chemical
Reg. No./Substance:
60-54-8/Tetracycline; 7647-14-5/Sodium Chloride

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


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