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Updated: May 18, 2026

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection

Published on: September 21, 2015

Surgeon practice patterns for antibiotic prophylaxis in gynecologic surgery.

Megan O Schimpf¹, Michelle Y Morrill, Rebecca U Margulies

¹Division of Urogynecology, Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI 48109, USA. mschimpf@umich.edu

Female Pelvic Medicine & Reconstructive Surgery

|September 18, 2012

Summary

Surgeons show varied antibiotic prophylaxis practices in gynecologic procedures. Adherence to established guidelines for hysterectomy antibiotic prophylaxis is inconsistent among practitioners.

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Last Updated: May 18, 2026

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection

Published on: September 21, 2015

Area of Science:

Gynecologic Surgery
Infectious Disease Prevention
Surgical Practice Patterns

Background:

Antibiotic prophylaxis is crucial in preventing surgical site infections.
Standardized guidelines exist for antibiotic use in gynecologic procedures.
Variability in practice may impact patient outcomes.

Purpose of the Study:

To evaluate current surgeon practices regarding antibiotic prophylaxis in gynecologic surgery.
To identify patterns and variations in antibiotic selection and duration.
To compare practices against existing clinical recommendations.

Main Methods:

A survey was administered to surgeons at the Society of Gynecologic Surgeons 2011 annual meeting.
The survey focused on antibiotic prophylaxis protocols for various gynecologic surgical procedures.
Response rate was 51%.

Main Results:

Most surgeons omitted antibiotic prophylaxis for procedures like dilation and curettage and hysteroscopy.
Antibiotic prophylaxis was commonly used for hysterectomy.
Adherence to ACOG and Joint Commission guidelines for hysterectomy prophylaxis was suboptimal (70% and 78%, respectively).
Prophylaxis use varied significantly, with less than 15% attributed to surgeon preference or hospital policy.

Conclusions:

Significant variability exists in antibiotic prophylaxis strategies for gynecologic surgery.
Current practices often deviate from established guidelines, particularly for hysterectomy.
Further research is needed to optimize antibiotic prophylaxis protocols and improve guideline adherence.