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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
1987-6-25
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pubmed:abstractText |
Antimicrobial overutilization accelerates the development of bacterial resistance. A prospective, randomized, blinded clinical trial of vaginal hysterectomy prophylaxis was designed to compare the efficacy, safety, and costs of cefazolin with those of cefoxitin and cefotaxime. Sixteen women (7.5%) developed febrile morbidity only, 10 (4.7%) developed major pelvic infection requiring parenteral antimicrobial therapy, and neither clinical nor laboratory adverse reactions of significance were observed. Anemia, diabetes, and additional surgical procedures were associated with a significantly increased incidence of postoperative infection; no regimen was more protective for women with or without these risk factors. Infections almost doubled hospital stay and the charges for health care. Diagnosis-related group reimbursement would have been more than $1,300 less than the mean hospital charge for women who developed infection. Utilizing cefazolin for prophylaxis and reserving cefoxitin and cefotaxime for therapy is cost and antimicrobial efficient.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
May
|
pubmed:issn |
0002-9378
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
156
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
1201-5
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:3555090-Adult,
pubmed-meshheading:3555090-Cefazolin,
pubmed-meshheading:3555090-Cefotaxime,
pubmed-meshheading:3555090-Cefoxitin,
pubmed-meshheading:3555090-Clinical Trials as Topic,
pubmed-meshheading:3555090-Female,
pubmed-meshheading:3555090-Humans,
pubmed-meshheading:3555090-Hysterectomy,
pubmed-meshheading:3555090-Pelvis,
pubmed-meshheading:3555090-Premedication,
pubmed-meshheading:3555090-Prospective Studies,
pubmed-meshheading:3555090-Random Allocation,
pubmed-meshheading:3555090-Risk,
pubmed-meshheading:3555090-Surgical Wound Infection
|
pubmed:year |
1987
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pubmed:articleTitle |
Single-dose cephalosporin for prevention of major pelvic infection after vaginal hysterectomy: cefazolin versus cefoxitin versus cefotaxime.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
|