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. 2017 Jun 18;2017(6):CD004637. doi: 10.1002/14651858.CD004637.pub2

Comparison 2. Cephalosporin versus placebo.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Total postoperative infections ‐ early and late 3   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.1 Vaginal hysterectomy 3 265 Risk Ratio (M‐H, Fixed, 95% CI) 0.29 [0.20, 0.42]
2 Abdominal wound infection 7   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
2.1 Abdominal hysterectomy 7 1528 Risk Ratio (M‐H, Fixed, 95% CI) 0.41 [0.25, 0.66]
3 Urinary tract infection 8   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
3.1 Vaginal hysterectomy 5 499 Risk Ratio (M‐H, Fixed, 95% CI) 0.71 [0.46, 1.08]
3.2 Abdominal hysterectomy 6 1668 Risk Ratio (M‐H, Fixed, 95% CI) 0.42 [0.31, 0.58]
4 Pelvic infection 10   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
4.1 Vaginal hysterectomy 6 1281 Risk Ratio (M‐H, Fixed, 95% CI) 0.15 [0.09, 0.28]
4.2 Abdominal hysterectomy 7 1528 Risk Ratio (M‐H, Fixed, 95% CI) 0.60 [0.39, 0.93]
5 Other serious infections 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
5.1 Vaginal hysterectomy 1 206 Risk Ratio (M‐H, Fixed, 95% CI) 0.2 [0.01, 4.12]
5.2 Abdominal hysterectomy 1 220 Risk Ratio (M‐H, Fixed, 95% CI) 0.33 [0.04, 3.16]
6 Postoperative fever 9   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
6.1 Vaginal hysterectomy 5 1028 Risk Ratio (M‐H, Fixed, 95% CI) 0.37 [0.25, 0.54]
6.2 Abdominal hysterectomy 6 1463 Risk Ratio (M‐H, Fixed, 95% CI) 0.62 [0.49, 0.77]
7 Total adverse effects 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
7.1 Abdominal hysterectomy 1 284 Risk Ratio (M‐H, Fixed, 95% CI) 1.0 [0.06, 15.83]
8 Need for therapeutic antibiotics 5   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
8.1 Vaginal hysterectomy 3 863 Risk Ratio (M‐H, Fixed, 95% CI) 0.55 [0.37, 0.81]
8.2 Abdominal hysterectomy 4 1138 Risk Ratio (M‐H, Fixed, 95% CI) 0.79 [0.61, 1.01]
9 Length of hospital stay 5   Mean Difference (IV, Fixed, 95% CI) Subtotals only
9.1 Vaginal hysterectomy 2 657 Mean Difference (IV, Fixed, 95% CI) ‐1.30 [‐1.88, ‐0.72]
9.2 Abdominal hysterectomy 4 818 Mean Difference (IV, Fixed, 95% CI) ‐0.43 [‐0.67, ‐0.19]