Perioperative venous thromboembolism and antibiotic prophylaxis in obstetrics and gynecology.
Venous thromboembolism (VTE) and surgical site infection are common and potentially preventable postoperative complications. National patient safety and healthcare quality initiatives target perioperative VTE and infection as opportunities to improve patient care and reduce healthcare costs. Women undergoing gynecologic surgery and cesarean delivery are at risk for these complications. There is sufficient evidence to recommend that VTE and antibiotic prophylaxis be given to women undergoing certain major gynecologic surgery or cesarean delivery. Because there are always emerging issues as new studies become available, physicians should anticipate periodic changes to the guidelines. Adherence to the available practice guidelines and awareness of relevant performance measures will further efforts to reduce postoperative complications.
Dalton
Vanessa
V
Department of Obstetrics and Gynecology, University of Michigan Medical School, L4000 Women's Hospital, Ann Arbor, Michigan 48103, USA. daltonvk@med.umich.edu
D019072:Antibiotic Prophylaxis; D002585:Cesarean Section; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D011247:Pregnancy; D018570:Risk Assessment; D013530:Surgical Wound Infection / Q000517:prevention & control*; D054556:Venous Thromboembolism / Q000517:prevention & control*