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International Urogynecology Journal

Published in:

01-05-2012 | Original Article

Is antibiotic prophylaxis necessary for midurethral sling procedures? A series of 174 cases without preoperative antibiotics

Authors: Oz Harmanli, Eun-Kyung Hong, Rachel Rubin, Keisha A. Jones, Rebecca L. Boyer, Stephen Metz

Published in: International Urogynecology Journal | Issue 5/2012

Abstract

Introduction and hypothesis

Despite the lack of evidence, antibiotic prophylaxis has been recommended for midurethral sling procedures. The goal of this study was to evaluate the rate of infectious complications in women undergoing midurethral sling procedures without antibiotic prophylaxis.

Methods

We reviewed the baseline characteristics and postoperative infectious complications of 174 consecutive women who underwent midurethral sling procedures without prophylactic antibiotics from April 2005 to January 2010. Patients undergoing concomitant vaginal surgery were excluded.

Results

The average age, parity, and body mass index of were 51.3 ± 12.6 years, 2.4 ± 1.3, and 30.1 ± 7.4 kg/m², respectively. There were no wound infections, 2 (1.4%) vaginal mesh exposures and 12 (8%) cases of bacteriuria.

Conclusions

The risk of infections is low when a midurethral sling is performed without antibiotic prophylaxis. Antibiotic prophylaxis does not appear to offer any benefit in midurethral sling procedures.

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Title: Is antibiotic prophylaxis necessary for midurethral sling procedures? A series of 174 cases without preoperative antibiotics
Authors: Oz Harmanli
Eun-Kyung Hong
Rachel Rubin
Keisha A. Jones
Rebecca L. Boyer
Stephen Metz
Publication date: 01-05-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 5/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-011-1624-8

At a glance: The STEP trials

Springer Medicine

Is antibiotic prophylaxis necessary for midurethral sling procedures? A series of 174 cases without preoperative antibiotics

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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