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[Prevention of postoperative or associated of care pelvic inflammatory diseases. Is there a need for antibiotic prophylaxis for first trimester surgical-induced abortion to prevent pelvic inflammatory diseases? CNGOF good practice points]. / Prévention des infections génitales hautes postopératoires ou associées aux soins. Faut-il proposer une antibioprophylaxie lors des interruptions volontaires de grossesse chirurgicales pour prévenir les infections génitales hautes ? Conseils de bonne pratique du CNGOF.
Castan, B; Brun, J-L; Stahl, J-P; Martin, C; Mercier, F; Fritel, X; Agostini, A.
Afiliación
  • Castan B; Service des maladies infectieuses et tropicales, centre hospitalier de Périgueux, 24000 Périgueux, France.
  • Brun JL; Service de chirurgie gynécologique, hôpital Pellegrin, CHU de Bordeaux, 33076 Bordeaux, France. Electronic address: jean-luc.brun@chu-bordeaux.fr.
  • Stahl JP; Service des maladies infectieuses et tropicales, hôpital Michallon, CHU de Grenoble, 38043 Grenoble, France.
  • Martin C; Service d'anesthésie-réanimation, hôpital Nord, AP-HM, 13020 Marseille, France.
  • Mercier F; Service d'anesthésie-réanimation, hôpital Antoine-Béclère, AP-HP, 92140 Clamart, France.
  • Fritel X; Service de gynécologie obstétrique, hôpital de la Milétrie, CHU de Poitiers, 86000 Poitiers, France.
  • Agostini A; Service de gynécologie obstétrique, hôpital de la Conception, AP-HM, 13005 Marseille, France.
Gynecol Obstet Fertil Senol ; 48(9): 646-648, 2020 09.
Article en Fr | MEDLINE | ID: mdl-32590078
Antibiotic prophylaxis is not recommended during surgical induced abortions. Systematic screening for Chlamydia trachomatis and Neisseria gonorrheae infection by polymerase chain reaction (PCR) on a vaginal sample is recommended before any surgical abortion. Moreover, the bacteriological result should be available before the abortion so that antibiotic treatment effective against the identified bacteria, if any, can be proposed before the procedure. The absence of bacteriological result on the day of the abortion must not, however, delay the procedure. If screening is positive for a sexually transmitted infection (STI), and the bacteriological result is only available after the abortion, it is recommended that antibiotic treatment start as soon as possible. The first-line antibiotic treatment is ceftriaxone 500mg in a single dose by the intramuscular route for N. gonorrheae, doxycycline 200mg per day orally for 7 days for C. trachomatis and azithromycin 500mg the first day (D1) then 250mg per day from D2 to D4 orally if Mycoplasma genitalium is detected by multiplex PCR. In case of positive screening, antibiotic treatment of the woman's partner(s) is recommended, adapted to the STI agent(s).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad Inflamatoria Pélvica / Aborto Inducido Tipo de estudio: Guideline / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Pregnancy Idioma: Fr Revista: Gynecol Obstet Fertil Senol Año: 2020 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad Inflamatoria Pélvica / Aborto Inducido Tipo de estudio: Guideline / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Pregnancy Idioma: Fr Revista: Gynecol Obstet Fertil Senol Año: 2020 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia