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The influence of preoperative vaginal cleansing on postoperative infectious morbidity in abdominal total hysterectomy for benign indications
Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology . Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology . Linköping University, Faculty of Health Sciences.
Umea University Hospital.
2009 (English)In: ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, ISSN 0001-6349, Vol. 88, no 4, 408-416 p.Article in journal (Refereed) Published
Abstract [en]

Objective. To evaluate whether vaginal cleansing reduces the risk of postoperative infection after abdominal total hysterectomy on benign indications and to analyze risk factors. Design. Retrospective cohort study. Setting. All clinics including patients in the Swedish National Register for Gynecological Surgery. Population. All 7,193 women who underwent abdominal total hysterectomy for benign indications from 2000 to 2007. Methods. Information on clinic routines for preoperative vaginal cleansing was obtained retrospectively in a postal survey. Associations between routines for vaginal cleansing and structured data from the Register were analyzed by means of multivariate logistic regression models. The main effect variable was postoperative infections defined as infections treated with antibiotics within six to eight weeks postoperatively, reported by the patient or the physician. Main outcome measures. Prevalence and risk factors for postoperative infections. Results. Prevalence of postoperative infections was 14.4%. The prevalence did not differ between those having had vaginal cleansing using chlorhexidine and those without vaginal cleansing, whereas using saline solution was encumbered with a significantly increased risk. Risk factors for postoperative infections were age 60, obesity, smoking, weight of the uterus, duration of hospital stay, blood transfusion, and peroperative injury of the urinary bladder or ureter. Conclusion. Vaginal cleansing using chlorhexidine solution did not reduce the risk of postoperative infections, whereas vaginal cleansing using saline solution seemed to increase the risk. Some risk factors for postoperative infectious morbidity seem to be preventable.

Place, publisher, year, edition, pages
2009. Vol. 88, no 4, 408-416 p.
Keyword [en]
Hysterectomy, national register, postoperative infections, risk factor, vaginal cleansing
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-17755DOI: 10.1080/00016340902795345OAI: oai:DiVA.org:liu-17755DiVA: diva2:211828
Note
This is an electronic version of an article published in: Preben Kjölhede, Shefqet Halili and Mats Lofgren, The influence of preoperative vaginal cleansing on postoperative infectious morbidity in abdominal total hysterectomy for benign indications, 2009, ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, (88), 4, 408-416. ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA is available online at informaworldTM: http://dx.doi.org/10.1080/00016340902795345 Copyright: Taylor & Francis http://www.tandf.co.uk/journals/default.asp Available from: 2009-04-29 Created: 2009-04-17 Last updated: 2009-08-19Bibliographically approved

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CiteExportLink to record
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