Value of oral antibiotic prophylaxis in colorectal surgery

Author:

McArdle C S1,Morran C G2,Pettit L1,Gemmell C G3,Sleigh J D3,Tillotson G S4

Affiliation:

1. University Department of Surgery, Royal Infirmary, Glasgow, UK

2. Crosshouse Hospital, Kilmarnock, Ayrshire, UK

3. Department of Bacteriology, Royal Infirmary, Glasgow, UK

4. Bayer (UK) Ltd, Newbury, UK

Abstract

Abstract A total of 169 patients undergoing colorectal surgery were randomly allocated to receive either gentamicin plus metronidazole or oral ciprofloxacin plus metronidazole as prophylaxis; they were also allocated to receive cover for 1 or 3 days. Twenty-eight patients (17 per cent) developed postoperative wound infections. The proportion of patients with wound infections and other infective complications was significantly less (P < 0·02) in those receiving oral ciprofloxacin. Cover for 3 days was no better than that for only 1 day. Oral ciprofloxacin for prophylaxis may offer advantages in efficacy and ease of administration compared with parenteral antibiotics.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference15 articles.

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2. The in-vitro and in-vivo activity of ciprofloxacin;Zeiler;Eur J Clin Microbiol,1984

3. Comparative in vitro studies with 4-quinolone antimicrobials;Felmingham;Drugs Exp Clin Res,1985

4. Perioperative prophylaxis in colorectal surgery: is a single-shot with 200 mg ciprofloxacin sufficient to maintain therapeutic levels in gut tissues?;Vestweber;J Chemother,1989

5. Ciprofloxacin concentrations and impact of the colon microflora in patients undergoing colorectal surgery;Brismar;Antimicrob Agents Chemother,1990

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