[Antibiotic prophylaxis for gynecological and obstetrical surgeries and procedures]
Lawson CC
Record ID 32018015704
French
Original Title:
Antibioprophylaxie lors de chirurgies et procédures gynécologiques et obstétricales
Authors' objectives:
In Québec, where the fight against antibiotic
resistance and the prevention of nosocomial infections are priorities, this work is part of
the Institute’s commitment to making recommendations that are up to date and consistent
with the latest scientific data and trends in best practices, particularly in antibiotic
stewardship.
Authors' results and conclusions:
RESULTS (#1 TREATMENT PRINCIPLES THAT OPTIMIZE THE EFFECTIVENESS OF SSI PREVENTION): To maximize its effectiveness, antibiotic prophylaxis relies on both the judicious
choice of antibiotic and strict adherence to administration timing, which are
determining factors in ensuring its preventive effect. (#2 TARGETED ANTIBIOTIC PROPHYLAXIS TO MEET REAL SSI PREVENTION NEEDS WHILE LIMITING
ANTIBIOTIC OVERUSE): Antibiotic prophylaxis is recommended only for certain uterine and adnexal
surgeries, and for Caesarean sections and certain postpartum interventions.
Authors' methods:
A systematic review of the literature on best clinical practices in antibiotic prophylaxis in
gynecological and obstetrical surgeries and procedures was conducted according to
INESSS’s methodological standards. The recommendations are the result of a rigorous
and iterative process, conducted in collaboration with a multidisciplinary advisory
committee, that sought to combine scientific, experiential, and contextual data in a
structured manner. The scientific quality, relevance and applicability of the work were
also validated by external readers who are specialists in the field.
Authors' identified further research:
The utility of updating the recommendations will be assessed four years from the date of
publication of this guide based on advances in scientific data and changes in clinical
practices, the inscription of new drugs on the lists or significant changes to the public
drug insurance plan’s reimbursement criteria, along with the needs of the health and
social services network.
Details
Project Status:
Completed
Year Published:
2026
URL for published report:
https://www.inesss.qc.ca/fileadmin/doc/INESSS/Rapports/Usage_optimal/Abx_chirurgie_gyneco_GN_INESSS.pdf
English language abstract:
An English language summary is available
Publication Type:
Other
Country:
Canada
Province:
Quebec
MeSH Terms
- Gynecologic Surgical Procedures
- Obstetric Surgical Procedures
- Antibiotic Prophylaxis
- Surgical Wound Infection
Contact
Organisation Name:
Institut national d'excellence en sante et en services sociaux
Contact Address:
L'Institut national d'excellence en sante et en services sociaux (INESSS) , 2021, avenue Union, bureau 10.083, Montreal, Quebec, Canada, H3A 2S9;Tel: 1+514-873-2563, Fax: 1+514-873-1369
Contact Name:
demande@inesss.qc.ca
Contact Email:
demande@inesss.qc.ca
Copyright:
L'Institut national d'excellence en sante et en services sociaux (INESSS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.