Article,

Prophylactic systemic antibiotics in colorectal surgery.

, , , , and .
Lancet, 310 (8027): 4--8 (July 1977)
DOI: http://dx.doi.org/10.1016/S0140-6736(77)90003-4

Abstract

The prophylactic value of gentamicin combined with either lincomycin or metronidazole in 52 patients undergoing colorectal surgery was investigated. The results confirmed the value of this practice. In a control group, the sepsis-rate was 48\% with 1 death attributable to sepsis, compared with a sepsis-rate of 4\% in the treated group. The combination of gentamicin and lincomycin was effective against sepsis but pseudomembranous colitis developed in 2 of the 14 patients treated with this combination of drugs. Lincomycin was discontinued, and when metronidazole was substituted the results were equally good and there were no toxic side-effects.

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