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  1. Home
  3. Reduction In Deep Organ-space Infection In Gynecologic Oncology Surgery With Use Of Oral Antibiotic Bowel Preparation: A Retrospective Cohort Analysis.
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  3. Reduction In Deep Organ-space Infection In Gynecologic Oncology Surgery With Use Of Oral Antibiotic Bowel Preparation: A Retrospective Cohort Analysis.

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Reduction in deep organ-space infection in gynecologic oncology surgery with use of oral antibiotic bowel

Kathryn Kennedy1, Jennifer Gaertner-Otto1, Eav Lim1

  • 1Division of Gynecologic Oncology, 25429 WellSpan York Hospital , York, PA, USA.

Journal of Osteopathic Medicine
|October 8, 2024

View abstract on PubMed

Summary
This summary is machine-generated.
Keywords:
antibioticsbowel preparationdeep organ-space infectiongynecologic surgery

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Oral antibiotic bowel preparation significantly reduced deep organ-space infections in gynecologic surgery. This low-risk, inexpensive intervention shows promise for improving patient outcomes and warrants further study.

Area of Science:

  • Gynecologic Oncology
  • Surgical Infection Prevention
  • Pharmacology

Background:

  • Deep organ-space infection (OSI) is a significant complication of gynecologic surgery.
  • Evidence on the efficacy of bowel preparation for reducing OSI is conflicting.
  • This study evaluated an oral antibiotic bowel preparation regimen to mitigate OSI risk.

Purpose of the Study:

  • To compare deep OSI rates before and after implementing oral antibiotic bowel preparation.
  • To determine if oral antibiotic bowel preparation is associated with decreased OSI.
  • To identify other risk factors for deep OSI in gynecologic surgery.

Main Methods:

  • Retrospective cohort study of 778 patients undergoing intra-abdominal gynecologic surgery.
  • Data collected via chart review from April 2019 to December 2021.
  • Logistic regression and multivariable analysis used to assess outcomes and risk factors.

    • Main Results:

    • The deep OSI rate was 2.3% without bowel preparation versus 0.3% with preparation (OR 0.13, p=0.02).
    • Oral antibiotic bowel preparation predicted a reduced risk of deep OSI (OR 0.04, p=0.04).
    • Laparotomy and Asian race were associated with increased OSI risk.

    Conclusions:

    • Oral antibiotic bowel preparation is associated with a significantly lower risk of deep OSI.
    • This inexpensive and low-risk intervention supports improved surgical outcomes.
    • Results support further investigation in larger, prospective studies.