TY - JOUR
T1 - Prophylactic Antibiotics for Suction Curettage in Incomplete Abortion
AU - Ramin, Kirk D.
AU - Ramin, Susan M.
AU - Hemsell, Patricia G.
AU - Nobles, Brenda J.
AU - Heard, Molly G.
AU - Johnson, Vivian B.
AU - Hemsell, David L.
PY - 1995
Y1 - 1995
N2 - Objective: The purpose of this study was to investigate the efficacy of 200 mg of prophylactic doxycycline in preventing pelvic infection after curettage for spontaneous (incomplete) abortion. Methods: A randomized, prospective, double-blinded study was carried out involving 300 women with an incomplete abortion who were given either placebo or 200 mg of doxycycline orally 30-60 min prior to curettage. A hematocrit, WBG count, pregnancy test, syphilis serology, Neisseria gonorrhoeae culture, and MicroTrak (monoclonal antibody test, Syba, San Jose, GA) for Chlamydia trachomatis were performed. The patients were scheduled for follow-up 2 weeks later. Antibiotic administration for any reason as well as the postoperative infection rate in these women was assessed. Results: Eleven women were excluded from analysis, leaving 289 evaluable. TV. gonorrhoeae was isolated from 6 (2%) women and C. trachomatis from 8 (3%) women, and the syphilis serology was serofast in 4 (1%) women. Endometritis complicated the procedure in 4 women who received placebo and in 1 woman who received doxycycline (P = 0.22). Conclusion: Prophylactic doxycycline is not effective in preventing pelvic infection after curettage for spontaneous (incomplete) abortion.
AB - Objective: The purpose of this study was to investigate the efficacy of 200 mg of prophylactic doxycycline in preventing pelvic infection after curettage for spontaneous (incomplete) abortion. Methods: A randomized, prospective, double-blinded study was carried out involving 300 women with an incomplete abortion who were given either placebo or 200 mg of doxycycline orally 30-60 min prior to curettage. A hematocrit, WBG count, pregnancy test, syphilis serology, Neisseria gonorrhoeae culture, and MicroTrak (monoclonal antibody test, Syba, San Jose, GA) for Chlamydia trachomatis were performed. The patients were scheduled for follow-up 2 weeks later. Antibiotic administration for any reason as well as the postoperative infection rate in these women was assessed. Results: Eleven women were excluded from analysis, leaving 289 evaluable. TV. gonorrhoeae was isolated from 6 (2%) women and C. trachomatis from 8 (3%) women, and the syphilis serology was serofast in 4 (1%) women. Endometritis complicated the procedure in 4 women who received placebo and in 1 woman who received doxycycline (P = 0.22). Conclusion: Prophylactic doxycycline is not effective in preventing pelvic infection after curettage for spontaneous (incomplete) abortion.
KW - Endometritis
KW - doxycycline
KW - prophylaxis
KW - spontaneous abortion
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U2 - 10.1155/S1064744995000044
DO - 10.1155/S1064744995000044
M3 - Article
C2 - 18475395
AN - SCOPUS:84871124967
SN - 1064-7449
VL - 2
SP - 213
EP - 217
JO - Infectious Diseases in Obstetrics and Gynecology
JF - Infectious Diseases in Obstetrics and Gynecology
IS - 5
ER -
