Antimicrobial Bowel Preparation for Elective Colon Surgery

作者：Fry Donald E^*

来源：Surgical Infections, 2016, 17(3): 269-274.

DOI：10.1089/sur.2015.271

Background: Mechanical bowel preparation continues to be a controversial subject for the pre-operative management of patients undergoing elective colon resection.
Methods: The English literature on bowel preparation was searched to identify pertinent publications.
Results: The published literature over the past 80 y confirms that mechanical bowel preparation alone does not reduce surgical site infections. However, the use of appropriate oral antibiotics following mechanical bowel preparation with pre-operative systemic antibiotics reduces rates of surgical site infections and anastomotic leaks when compared with systemic antibiotics alone.
Conclusions: Mechanical bowel preparation with pre-operative oral antibiotics and pre-operative systemic antibiotics are the standard of care for elective colon surgery. Refinement in methods of bowel preparation needs additional clinical investigations to further enhance outcomes.

• 出版日期2016-6
• 单位西北大学