Table 2

Antibiotic Practices for Fistula Surgery

N

%


Antibiotics usually available for pelvic surgery *

Aminoglycosides (e.g., gentamicin/tobramycin)

31

78%

Quinolones (e.g., ciprofloxacin)

31

78%

Second-generation cephalosporins (e.g., cefuroxime)

15

38%

Third-generation cephalosporins (e.g., ceftriaxone)

22

55%

"Rescue" antibiotics for multi-resistant organisms (e.g., imipenem)

2

5%

Factors influencing availability of antibiotics^

Market factors: drug availability and hospital budget

12

30%

Hospital formulary set by administration

11

28%

Ministry of Health's essential drug list

8

20%

Donation from partners

4

10%

Other

4

10%

No response

1

3%

Use of prophylactic antibiotics^

For every fistula case

23

58%

For selected fistula cases

14

35%

Never

2

5%

No response

1

3%

Most important factor in choice of prophylactic antibiotics^

Recommendations of medical literature

9

23%

Surgeon training in vesicovaginal fistula surgery

9

23%

Availability

7

18%

Personal choice

5

13%

Cost

2

5%

Does not use prophylactic antibiotics

1

3%

Other

7

18%


* Multiple responses allowed; percentages exceed 100%.

^ Exceeds 100% due to rounding.

Arrowsmith et al. BMC Pregnancy and Childbirth 2010 10:73   doi:10.1186/1471-2393-10-73

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