ANTIBIOTIC PROPHYLAXIS FOR HYSTEROSCOPY, D&C, ENDOMETRIAL BIOPSY AND HYSTEROSALPINGOGRAPHY

Abstract

Cilj rada. Ustanoviti način propisivanja antibiotika pri intrauterinim zahvatima. Materijal i metoda. Analizirano je propisivanje antibiotika u Zavodu za humanu reprodukciju, Klinike za ženske bolesti i porode KBC-a i MF-a u Zagrebu, u razdoblju od 1. siječnja 2007. do 1. travnja 2007. Promatran je način propisivanja antibiotske profilakse trinaestoro liječnika. Rezultat. U promatranom razdoblju učinjena su 144 intrauterina zahvata; histeroskopija i kiretaža. Propisivanje antibitske profilakse zavisilo je isključivo od stila rada pojedinih liječnika, a ne o kliničkoj slici. Učestalost primjene antibiotika je u rasponu od 0% pa do 100%. U liječenih pacijentica nije bilo komplikacija koje bi zahtijevale dodatnu antimikrobnu terapiju. Zaključak. Ne postoji standardni postupnik pri propisivanju antibiotske profilakse. Potrebno je iz temelja revidirati način antibiotske profilakse i time upoznati sve ginekologe koji izvode intrauterine zahvate.Aim of study. Observation of the prophylactic antibiotic use during intrauterine procedures. Method. From Jan. 1st, to Apr. 1st, 2007, in Fertility/Sterility Dept. of Gynecologic Clinic, Zagreb, use of antibiotics was analyzed. Thirteen gynecologists were observed. Results. The 144 intrauterine procedures were performed: hysteroscopies and D&C-s. Antibiotics were recommended between 0% and 100%, even in the same procedure performed by the specific gynecologist. Antibiotic use differed from doctor to doctor and was not related to clinical situation. There were no complications described, regardless of antibiotic use. Conclusion. The prophylactic use of antibiotics during intrauterine procedures has to be revised. All doctors performing such operations should be reeducated