TITLE:
Prophylactic Antibiotic Treatment during Hysteroscopy: A Systematic Review
AUTHORS:
Jannie Wijma, Paul J. Q. van der Linden
KEYWORDS:
Antibiotic, Prophylaxis, Operative, Hysteroscopy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.5 No.3,
March
12,
2015
ABSTRACT: Background: Overall, the use of
antibiotics is increasing. We noticed different practices amongst different
hospitals in their prophylactic use of antibiotics during operative
hysteroscopy. This review investigates whether there is sufficient evidence to
recommend antibiotic prophylaxis in operative hysteroscopy. Methods: We
performed a systematic search in “Pubmed” using “hysteroscopy” and “antibiotic”
and “prophylaxis” as search items. We found 16 hits of which 4 were suitable to
include in our review. Findings: In an included Cochrane review no conclusion
was drawn since no articles could be included. A prospective study by Nappiet al.[1]support the recommendation of the American College of
Obstetricians and Gynaecologists not to prescribe routinely antibiotic
prophylaxis in cases of hysteroscopic surgery. Bhattacharyaet al. conducted a prospective
study that was ended prematurely. They conclude that there is no convincing
evidence that prophylactic antibiotics are of value in hysteroscopy. A review
by Morrillet al. yielded
no new data. Conclusion: We did not find a significant increase in clinical
relevant infectious symptoms after hysteroscopy in women treated with or
without antibiotic prophylaxis, although data are insufficient to draw a
definite conclusion. Therefore, we suggest a prospective study is mandatory on
this topic.