Document Detail


A meta-analysis of the use of amoxycillin-clavulanic acid in surgical prophylaxis.
MedLine Citation:
PMID:  1362755     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The efficacy of amoxycillin-clavulanic acid as antibiotic prophylaxis in surgery has been assessed in numerous clinical studies, chiefly in abdominal and gynaecological surgery. A meta-analysis of 21 trials covering 2685 patients given amoxycillin-clavulanic acid and 2220 patients given comparator regimens is presented. Monotherapy with amoxycillin-clavulanic acid was as effective as the comparators, including combination regimens utilizing gentamicin or metronidazole, in preventing wound infections (median wound infection rates were 6% and 10% respectively). The antibacterial activity of amoxycillin-clavulanic acid covers the broad range of aerobic Gram-negative and anaerobic organisms that have a major role in postoperative infections. In addition, amoxycillin-clavulanic acid may have benefits in terms of convenience, tolerance and cost.
Authors:
A P Wilson; S Shrimpton; M Jaderberg
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Publication Detail:
Type:  Comparative Study; Journal Article; Meta-Analysis    
Journal Detail:
Title:  The Journal of hospital infection     Volume:  22 Suppl A     ISSN:  0195-6701     ISO Abbreviation:  J. Hosp. Infect.     Publication Date:  1992 Nov 
Date Detail:
Created Date:  1993-03-02     Completed Date:  1993-03-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8007166     Medline TA:  J Hosp Infect     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  9-21     Citation Subset:  IM    
Affiliation:
Department of Clinical Microbiology, University College Hospital, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Abdomen / microbiology,  surgery
Amoxicillin / therapeutic use*
Amoxicillin-Potassium Clavulanate Combination
Bacterial Infections / prevention & control*
Clavulanic Acids / therapeutic use*
Double-Blind Method
Drug Therapy, Combination / therapeutic use
Female
Genitalia, Female / microbiology,  surgery
Humans
Surgical Wound Infection / prevention & control*
Chemical
Reg. No./Substance:
0/Clavulanic Acids; 26787-78-0/Amoxicillin; 74469-00-4/Amoxicillin-Potassium Clavulanate Combination

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


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