Archives of surgery (Chicago, Ill. : 1960)
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Randomized Controlled Trial Comparative Study
Antibiotic prophylaxis before surgery vs after cord clamping in elective cesarean delivery: a double-blind, prospective, randomized, placebo-controlled trial.
Perioperative antibiotic prophylaxis during elective cesarean delivery at term to reduce postoperative maternal infectious morbidity is generally used but may not be effective on the basis of the available data. Also, the optimal timing of prophylactic antibiotic administration is unclear. ⋯ We were able to demonstrate the usefulness in elective cesarean delivery of prophylactic cefazolin vs placebo in reducing postoperative maternal infectious morbidity.
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To characterize the location, incidence, and timing of deep venous thrombosis (DVT) after general surgical procedures. ⋯ In the presence of prophylaxis, the incidence of DVT after general surgical operation is low, with more than 80% of cases diagnosed in the inpatient setting. Since more than half of the DVTs are catheter induced, efforts for DVT prevention should include more attention to the need for a central catheter, limiting the amount of time of a central catheter, and possibly the use of anticoagulation in the presence of a central catheter.
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To determine whether there is an association between the Veterans Health Administration Medical Team Training (MTT) program and surgical morbidity. ⋯ The Veterans Health Administration MTT program is associated with decreased surgical morbidity.