Matching articles for "October 4"
Seasonal Trivalent Influenza Vaccine for 2010-2011
The Medical Letter on Drugs and Therapeutics • October 4, 2010; (Issue 1348)
Annual vaccination against influenza A and B viruses is
the most effective method of preventing influenza. An
upcoming issue of The Medical Letter will review drugs
for chemoprophylaxis and treatment of...
Annual vaccination against influenza A and B viruses is
the most effective method of preventing influenza. An
upcoming issue of The Medical Letter will review drugs
for chemoprophylaxis and treatment of influenza.
Low-Dose Doxepin (Silenor) for Insomnia
The Medical Letter on Drugs and Therapeutics • October 4, 2010; (Issue 1348)
The FDA has approved a new low-dose formulation of
the tricyclic antidepressant doxepin (Silenor –
Somaxon) for treatment of insomnia associated with
sleep maintenance. The manufacturer claims that...
The FDA has approved a new low-dose formulation of
the tricyclic antidepressant doxepin (Silenor –
Somaxon) for treatment of insomnia associated with
sleep maintenance. The manufacturer claims that this
dose retains the hypnotic effect of doxepin, without
typical tricyclic adverse effects. Doxepin is available
generically in higher-strength capsules and in a liquid
formulation.
In Brief: Recommendation for Earlier Antibiotic Prophylaxis for Cesarean Delivery
The Medical Letter on Drugs and Therapeutics • October 4, 2010; (Issue 1348)
The American Congress of Obstetricians and Gynecologists (ACOG) has announced a new recommendation for antibiotic prophylaxis during cesarean delivery.1 Currently most women receive a single dose of...
The American Congress of Obstetricians and Gynecologists (ACOG) has announced a new recommendation for antibiotic prophylaxis during cesarean delivery.1 Currently most women receive a single dose of prophylactic antibiotics after the umbilical cord has been clamped to prevent antibiotics from crossing over to the newborn. The new recommendation is for women giving birth by cesarean section to routinely receive antibiotics within one hour before the start of surgery. In the case of an emergency cesarean delivery, prophylaxis should be started as soon as possible.
Recent studies have found a lower incidence of endometritis and wound infection with preoperative antibiotic administration compared to administration post-clamping.2-4 Whether widespread adoption of this practice could increase neonatal morbidity by masking the source of sepsis or by increasing the prevalence of resistant organisms remains to be determined.
The prophylactic antibiotic for cesarean section is cefazolin 1-2 g IV. For patients allergic to penicillins and cephalosporins, clindamycin with gentamicin would be a reasonable alternative.
1. The American College of Obstetricians and Gynecologists Committee on Obstetric Practice. Committee Opinion no. 465: Antimicrobial prophylaxis for cesarean delivery: timing of administration. Obstet Gynecol 2010; 116:791.
2. MM Constantine et al. Timing of perioperative antibiotics for cesarean delivery: a metaanalysis. Am J Obstet Gynecol 2008; 199:301.
3. FM Smaill and GML Gyte. Antibiotic prophylaxis versus no prophylaxis for preventing infection after cesarean section. Cochrane Database Syst Rev 2010: CD007482.
4. SA Sullivan et al. Administration of cefazolin prior to skin incision is superior to cefazolin at cord clamping in preventing post cesarean infectious morbidity: a randomized controlled trial. Am J Obstet Gynecol 2007; 196:455.
Download: U.S. English
Recent studies have found a lower incidence of endometritis and wound infection with preoperative antibiotic administration compared to administration post-clamping.2-4 Whether widespread adoption of this practice could increase neonatal morbidity by masking the source of sepsis or by increasing the prevalence of resistant organisms remains to be determined.
The prophylactic antibiotic for cesarean section is cefazolin 1-2 g IV. For patients allergic to penicillins and cephalosporins, clindamycin with gentamicin would be a reasonable alternative.
1. The American College of Obstetricians and Gynecologists Committee on Obstetric Practice. Committee Opinion no. 465: Antimicrobial prophylaxis for cesarean delivery: timing of administration. Obstet Gynecol 2010; 116:791.
2. MM Constantine et al. Timing of perioperative antibiotics for cesarean delivery: a metaanalysis. Am J Obstet Gynecol 2008; 199:301.
3. FM Smaill and GML Gyte. Antibiotic prophylaxis versus no prophylaxis for preventing infection after cesarean section. Cochrane Database Syst Rev 2010: CD007482.
4. SA Sullivan et al. Administration of cefazolin prior to skin incision is superior to cefazolin at cord clamping in preventing post cesarean infectious morbidity: a randomized controlled trial. Am J Obstet Gynecol 2007; 196:455.
Download: U.S. English