The use of infection prevention practices in female pelvic medicine and reconstructive surgery.
OBJECTIVE
This review discusses recently published and relevant data on the preventive techniques used to reduce perioperative infections in urogynecologic procedures.


RESULTS
The consequences of postprocedural and postsurgical infections in Female Pelvic Medicine and Reconstructive Surgery can be challenging. Infections can range from a simple urinary tract infection to a devastating infection of vaginally implanted mesh that requires multiple subsequent reoperations. Measures taken to reduce the chances of postprocedural or postsurgical infections may provide better outcomes, with lower costs and less litigation. Recent studies on the outcomes of specific practices used in urology and urogynecology to prevent infectious complications can help guide clinicians through the decision-making process on which new practices to adopt.


CONCLUSIONS
Good evidence-based practices to reduce or prevent infectious complications after procedures in female urology and urogynecology will save time, lower morbidity, reduce costs, and improve patient outcomes and satisfaction. However, there is still a great need for more level I evidence on infection prevention practices utilized in female urology and urogynecology.
Tate
Alison
A
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Harbor-UCLA Medical Center, Torrance, CA 90509, USA. AlisonLTate@yahoo.com
Yazdany
Tajnoos
T
Bhatia
Narender
N
D019072:Antibiotic Prophylaxis; D003428:Cross Infection / Q000517:prevention & control*; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D017053:Infection Control / Q000379:methods* / Q000592:standards; D019990:Perioperative Care / Q000379:methods* / Q000592:standards; D011183:Postoperative Complications / Q000517:prevention & control*; D013519:Urogenital Surgical Procedures / Q000592:standards