Abstract
Standardized and effective antibiotic therapy regimes in gynecology need to be based on the protocols prescribed by acknowledged specialists. Antibiotic therapy can have either prophylactic or therapeutic purposes. Antibiotics of the narrowest possible spectrum are recommended, as well as their shortest while most effective application. The choice is firstly determined by the effectiveness and secondly by the price. Preventive use of antibiotics and the doses in gynecological surgery depend on the type of surgery. If antibiotic therapy is prophylactic, first generation cephalosporin should always be used. Irrational antibiotic therapy, especially when using third generation cephalosporin, can result in strains of resistant hospital bacteria.
Highlights
Nowadays standardized and effective antibiotic therapy regime is the ultimate goal of every organized health system
In order to achieve these goals, the antibiotic should be: - Effective against bacteria that most often contaminate the wound, - Given in the adequate dose and at the right time to ensure the adequate concentration when performing the incision and for the period of any potential contamination, - Safe, - Given in the shortest effective period so as to reduce unwanted effects, the development of resistance and the price
CONCLUSION the recommendations cannot take into consideration all the problems, physicians cannot be allowed to prescribe antibiotic therapy, as they like
Summary
Nowadays standardized and effective antibiotic therapy regime is the ultimate goal of every organized health system. Antibiotics of the narrowest possible spectrum are recommended, as well as their shortest while most effective application. If antibiotic therapy is prophylactic, first generation cephalosporin should always be used.
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