Abstract
A prospective, randomized, double-blind study was performed to compare preoperative antibiotic preparation with neomycin (group 1), neomycin and tetracycline (group 2), and placebo (group 3) in patients undergoing elective intestinal surgery. The 196 patients were approximately equally distributed among the three study groups, which proved similar to each other in terms of age, sex, diagnosis, site of lesion, and operative procedure. There were significantly (P < 0.01) fewer patients with postoperative wound sepsis in the neomycin-tetracycline group (group 2) than in either of the two other groups. Postoperative wound infection rates in groups 1 and 3 were nearly identical. Most infections contained both aerobic and anaerobic bacteria. Eight of nine episodes of septicemia due to Bacteroides fragilis occurred in patients in groups 1 and 3.
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- COHN I., Jr, LONGACRE A. B. Tetracycline (achromycin)- neomycin for preoperative colon preparation. AMA Arch Surg. 1956 Mar;72(3):371–376. doi: 10.1001/archsurg.1956.01270210001001. [DOI] [PubMed] [Google Scholar]
- COHN I., Jr The influence of antibiotics on the spread of tumors of the colon: an experimental study. Ann Surg. 1960 Jun;151:917–929. doi: 10.1097/00000658-196006000-00016. [DOI] [PMC free article] [PubMed] [Google Scholar]
- DEARING W. H., NEEDHAM G. M. Effect of oral administration of neomycin and oxytetracycline (terramycin) on the intestinal bacterial flora of man. Proc Staff Meet Mayo Clin. 1953 Sep 9;28(18):507–512. [PubMed] [Google Scholar]
- Drasar B. S. Cultivation of anaerobic intestinal bacteria. J Pathol Bacteriol. 1967 Oct;94(2):417–427. doi: 10.1002/path.1700940223. [DOI] [PubMed] [Google Scholar]
- Herter F. P., Slanetz C. A., Jr Preoperative intestinal preparation in relation to the subsequent development of cancer at the suture line. Surg Gynecol Obstet. 1968 Jul;127(1):49–56. [PubMed] [Google Scholar]
- Killgore G. E., Starr S. E., Del Bene V. E., Whaley D. N., Dowell V. R., Jr Comparison of three anaerobic systems for the isolation of anaerobic bacteria from clinical specimens. Am J Clin Pathol. 1973 Apr;59(4):552–559. doi: 10.1093/ajcp/59.4.552. [DOI] [PubMed] [Google Scholar]
- LEO W. A., VON RIESEN V. L., ROBERTS G. G., SCHLOERB P. R. Twenty-four hour preparation of the large bowel for surgery using neomycin-sulfathalidine or neomycin-oxytetracycline: a comparative evaluation. Ann Surg. 1958 Mar;147(3):359–365. doi: 10.1097/00000658-195803000-00011. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Marcoux J. A., Zabransky R. J., Washington J. A., 2nd, Wellman W. E., Martin W. J. Bacteroides bacteremia. Minn Med. 1970 Nov;53(11):1169–1176. [PubMed] [Google Scholar]
- Martin W. J., Gardner M., Washington J. A., 2nd In vitro antimicrobial susceptibility of anaerobic bacteria isolated from clinical specimens. Antimicrob Agents Chemother. 1972 Feb;1(2):148–158. doi: 10.1128/aac.1.2.148. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Martin W. J. Practical method for isolation of anerobic bacteria in the clinical laboratory. Appl Microbiol. 1971 Dec;22(6):1168–1171. doi: 10.1128/am.22.6.1168-1171.1971. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Moore W. E., Cato E. P., Holdeman L. V. Anaerobic bacteria of the gastrointestinal flora and their occurrence in clinical infections. J Infect Dis. 1969 Jun;119(6):641–649. doi: 10.1093/infdis/119.6.641. [DOI] [PubMed] [Google Scholar]
- Nichols R. L., Broido P., Condon R. E., Gorbach S. L., Nyhus L. M. Effect of preoperative neomycin-erythromycin intestinal preparation on the incidence of infectious complications following colon surgery. Ann Surg. 1973 Oct;178(4):453–462. doi: 10.1097/00000658-197310000-00008. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nichols R. L., Condon R. E. Preoperative preparation of the colon. Surg Gynecol Obstet. 1971 Feb;132(2):323–337. [PubMed] [Google Scholar]
- Roberts D. S. Synergic mechanisms in certain mixed infections. J Infect Dis. 1969 Dec;120(6):720–724. doi: 10.1093/infdis/120.6.720. [DOI] [PubMed] [Google Scholar]
- Rosenblatt J. E., Fallon A., Finegold S. M. Comparison of methods for isolation of anaerobic bacteria from clinical specimens. Appl Microbiol. 1973 Jan;25(1):77–85. doi: 10.1128/am.25.1.77-85.1973. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thadepalli H., Gorbach S. L., Broido P. W., Norsen J., Nyhus L. Abdominal trauma, anaerobes, and antibiotics. Surg Gynecol Obstet. 1973 Aug;137(2):270–276. [PubMed] [Google Scholar]
- VINK M. Local recurrence of cancer in the large bowel: the role of implantation metastases and bowel disinfection. Br J Surg. 1954 Jan;41(168):431–433. doi: 10.1002/bjs.18004116826. [DOI] [PubMed] [Google Scholar]
- Wilson W. R., Martin W. J., Wilkowske C. J., Washington J. A., 2nd Anaerobic bacteremia. Mayo Clin Proc. 1972 Sep;47(9):639–646. [PubMed] [Google Scholar]
- Yale C. E., Peet W. J. Antibiotics in colon surgery. Am J Surg. 1971 Dec;122(6):787–791. doi: 10.1016/0002-9610(71)90447-8. [DOI] [PubMed] [Google Scholar]