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Broader Antibiotic Regimen Can Curb Endometritis.
Coverage for Ureaplasma urealyticum also leads to shorter hospital stays.
TORONTO -- Postcesarean endometritis can be reduced if the standard prophylactic antibiotic regimen given at the time of cesarean section were expanded to include coverage against Urea-plasma urealyticum, Dr. William Andrews reported.
In a prospective, randomized study of 597 women who underwent cesarean section, those who were given doxycycline and azithromycin in addition to standard cefotetan prophylaxis had a significantly lower incidence of postcesarean endometritis (16.9% vs. 23.9%) and a shorter hospital stay (95 hours vs. 104 hours).
"Although prophylactic antibiotics are commonly used in the U.S. [at the time of cesarean section], the antibiotic regimen rarely includes coverage for Urea-plasma urealyticum," Dr. Andrews reported in a poster presentation at the annual meeting of the Society for Gynecologic Investigation.
"It is unclear whether use of the broad-spectrum antibiotic regimen would lower the postcesarean infection rate in a hospital that already has a very low rate of such infections," Dr. Andrews said in an interview.
"However, implementation of the broader-based regimen certainly would be reasonable in a high-risk service with a high infection rate, such as tertiary obstetric care services," he said.
A theoretical drawback to the broad-spectrum approach is that it could promote bacterial resistance, resulting in an increase in ...
- Antibiotic regimen still works for granuloma inguinale.(Dermatologic Therapy)
- Magazine article from: Skin & Allergy News Splete, Heidi May 1, 2007 700+ words
GRAND CAYMAN, CAYMAN ISLANDS -- When a patient presents with beefy, raised lesions on the genitals, consider granuloma inguinale as part of the differential diagnosis, Dr. Barry Smith said at the Caribbean Dermatology Symposium. "Granuloma inguinale is pretty rare these days," said Dr. Smith of St.
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Years from now, when historians look back at the medical advances of the 1990s, they'll certainly talk about the human genome project, combinatorial chemistry, and high-tech advances in AIDS, cancer, and amyotrophic lateral sclerosis (ALS). But they'll also note that in 1996, the Food & Drug
- Five-Day Antibiotic Regimen Offers Similar Outcomes To 10-Day Regimen.
- Newspaper article from: TB & Outbreaks Week May 8, 2001 700+ words
2001 MAY 8 - (NewsRx.com & NewsRx.net) -- by N.R. Saltmarsh, staff medical writer - Children with acute otitis media (AOM) do just as well with five days of antibiotics as 10 days, say physicians in a private pediatric practice. Outcomes were the same in groups given five, seven, or 10 days of
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- Magazine article from: JAAPA-Journal of the American Academy of Physicians Assistants Colletti, Tom Robinson, Peggy September 1, 2005 700+ words
Sore throat of viral origin is a common clinical presentation in the primary care setting. Findings in the National Ambulatory Care Survey indicate that acute pharyngitis is one of the top 20 reported diagnoses and represents 1.1% of primary care visits. (1) In fact, the Infectious Diseases Society
- Cytokines gauge endometritis risk post C-section: serum measured upon...
- Magazine article from: OB GYN News Mahoney, Diana November 15, 2003 700+ words
...HYANNIS, MASS. -- Elevated cytokine levels upon hospital admission may identify patients at high-risk for postcesarean endometritis, a prospective study has shown. An analysis of maternal serum measures of patients in a pregnancy study cohort...
- Addition of a macrolide to beta-lactam antibiotics lowers mortality.
- Newspaper article from: Anti-Infectives Week April 7, 2003 700+ words
...in a beta-lactam based empirical antibiotic regimen and mortality among patients with...inclusion of a macrolide in the initial antibiotic regimen (p=.03)," stated J.A. Martinez...to a beta-lactam based initial antibiotic regimen is an independent predictor of in...
- Reports from S. Schroeder and co-researchers add new data to research in sepsis.
- Newspaper article from: Blood Weekly March 26, 2009 700+ words
...antibiotic treatment. All patients received a calculated antibiotic regimen according to the presumed microbiological spectrum. In...researchers concluded: "This may contribute to an optimized antibiotic regimen with beneficial effects on microbial resistances and costs...
- Infant Outcome After Maternal Antibiotic Therapy for Premature Rupture of the...
- Newspaper article from: Pediatric & Adolescent Medicine Reports December 1, 1997 700+ words
...treatment or a matching placebo regimen on fetal outcome. The antibiotic regimen was intravenous ampicillin (2 g every 6 hours) and erythromycin...Some of these women will deliver before completing this antibiotic regimen. The dilemma for pediatricians is to determine if maternal...
