By Philip B. Mead M.D. (auth.), William J. Ledger (eds.)
The intent to organize this quantity on antibiotics for the health care provider taking good care of girls was once dependent upon the editor's conception that the subject material had by no means been absolutely built for the obstetrician-gynecologist. so much textbooks of infectious affliction have a small part dedicated to antibiotics, which has little relevance for the health care professional taking care of post-operative or post-partum infections. uncomplicated antibiotic pharmacology is defined and there's a reflex prohibition of antibiotics for the pregnant lady. competently, the reader assumes that the authors themselves don't take care of girls with bacterial infections of the pelvis. contemporary texts in infectious disorder in obstetrics gynecology were little larger. even if the point of interest has been extra clini cally orientated, house standards have too usually saved the discussions at a superficial point. a complete concentration upon antibiotics during this quantity gets rid of the restraints of house in earlier courses. the best present 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 said 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 Philip Mead from the college of Vermont is an outdated buddy, who brings to the query of prophylactic antibiotics, his extensive scientific adventure and encyclopedic knowledge.
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Extra resources for Antibiotics in Obstetrics and Gynecology
Ledger WJ, Campbell C, Willson JR: Postoperative adnexal infections. Obstet Gynecol 31:83, 1968 102. Ledger WJ, Campbell C, Taylor D, Willson JR: Adnexal abscess as a late complication of pelvic operations. Surg Gynec Obstet 129:973, 1969 103. Mickal A, Curole D, Lewis C: Cefoxitin sodium - Double blind vaginal hysterectomy prophylaxis in premenopausal patients. Obstet GynecoI56:222, 1980 104. Harris G, Marraro RV, Ugenas AJ: Bacteremia or pelvic infection - a consequence of gynecologic biopsies?
Obstet GynecoI39:218, 1972 3. Bartlett JG, Onderdonk AB, Durde E: Quantitative bacteriology of the vaginal flora. J Infect Dis 136:271, 1977. 4. Berger SA, Nagar H, Gordon M: Antimicrobial prophylaxis in obstetric and gynecologic surgery - a critical review. J Reprod Med 24:185, 1980. 5. Berger SA, Nagar H, Weitzman S: Prophylactic antibiotics in surgical procedures. Surg GynecolObstet 146:469, 1978 6. Bivens MD, Neufeld J, McCartly WC: The prophylactic use of Keflex and Keflin in vaginal hysterectomy.
When patients were given only two doses of this combination for prophylaxis, the endometrial flora samples 48-96 h later consisted almost entirely of enterococci and E. coli. Work and Ledger found that in women receiving prophylactic cephalothin who nevertheless developed a serious post-cesarean section infection, Bacteroides was consistently recovered from the infection site . Bacteroides was not recovered from those women with serious post-section infections who had received a placebo. Ohm and Galask, utilizing meticulous bacteriologic techniques, reported on alterations of microbial flora in patients undergoing ab- 30 dominal  and vaginal  hysterectomy.