Bowel preparation for elective colorectal procedures : a review of clinical effectiveness, cost-effectiveness, and guidelines

Bowel preparation for elective colorectal procedures : a review of clinical effectiveness, cost-effectiveness, and guidelines /

While there is evidence to suggest that mechanical bowel preparation should not be used in isolation, there is renewed interest in determining the value of adding oral antibiotics to the preoperative regimen for elective colorectal procedures. For instance, a recent retrospective database analysis h...

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Bibliographic Details
Online Access: http://www.ncbi.nlm.nih.gov/books/NBK537801/
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Main Authors: Khangura, Sara (Author), La Fleur, Philip (Author), Argáez, Charlene (Author), Adcock, Lorna (Author)
Format: Electronic eBook
Language:English
Published: Ottawa : CADTH, 2018
Edition:Version 1.0.
Series:Rapid response report (Canadian Agency for Drugs and Technologies in Health)
Subjects:
Preoperative Care > methods.
Antibiotic Prophylaxis > methods.
Antibiotic Prophylaxis > economics.
Surgical Wound Infection > prevention & control.
Colorectal Surgery > adverse effects.
Treatment Outcome.
Cost-Benefit Analysis.
Review.
Tables.
Description
Summary:While there is evidence to suggest that mechanical bowel preparation should not be used in isolation, there is renewed interest in determining the value of adding oral antibiotics to the preoperative regimen for elective colorectal procedures. For instance, a recent retrospective database analysis has suggested that there may be an important role for the combination of mechanical bowel preparation and oral antibiotics in reducing postoperative surgical site infections in elective colorectal surgery. Thus, this report aims to review relevant evidence addressing the clinical effectiveness, cost-effectiveness, and evidence-based guidelines for the use of standard, parenteral antibiotic prophylaxis with or without mechanical bowel preparation versus intravenous plus oral antibiotic prophylaxis with or without mechanical bowel preparation for patients undergoing elective colorectal procedures.
Physical Description:1 online resource (1 PDF file (45 pages)) : illustrations.
Bibliography:Includes bibliographical references.
ISSN:1922-8147
Source of Description, Etc. Note:Description based on online resource; title from PDF title page (viewed April 12, 2019).
Funding Information Note:Funding: CADTH receives funding from Canada's federal, provincial, and territorial governments, with the exception of Quebec.

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