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Antibiotikaprofylax vid kirurgisk abort: En litteraturöversikt
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2019 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

SAMMANFATTNING

Bakgrund: Trots att abort är ett vanligt förekommande fenomen, är antalet utförda aborter väldigt varierande världen över. Det redovisas att i genomsnitt ett av fem havandeskap avbryts samt att infektioner av varierande grad kan uppstå vid indicerad abort. Syfte: Syftet med denna litteraturöversikt var att beskriva förekomsten av postoperativa infektioner samt nyttan av antibiotikaprofylax i samband med en kirurgisk abort. Metod: Litteraturöversikten baserades på 16 vetenskapliga originalartiklar av kvantitativ ansats (randomiserade kontrollerade studier). Artiklarna analyserades, redovisades, granskades och sammanfogades till denna studies resultat. Resultat: De vanligaste förekommande postoperativa infektionerna efter kirurgisk abort var klamydia, gonorré och bakteriell vaginos vilka förekom i genomsnitt till 9,2 %. Doxycyklin visade sig vara den bästa kostnadseffektiva och profylaktiska behandlingen i jämförelse med andra antibiotikaläkemedel som ingår i studierna. Slutsats: Denna litteraturöversikt bekräftar resultatet från tidigare forskning att profylaktisk antibiotikabehandling vid kirurgisk abort eventuellt kan minska förekomsten av postoperativa infektioner.

 

Nyckelord: kirurgisk abort, antibiotikaprofylax, infektion, omvårdnad, vårdlidande.

Abstract [en]

ABSTRACT

Background: Abortion is a recurring phenomenon; the total number of performed procedures varies greatly around the world. The statistics show that about one in five pregnancies is terminated. It is reported that infections of different degree will occur with induced abortion. Purpose: The purpose of this review is to study the frequency of postoperative infections and the usefulness of antibiotic prophylaxis when surgical abortion is performed. Methods: The literature review is based on 16 original scientific articles of randomized controlled trials in quantitative studies. The articles were analysed, reported, reviewed and merged into this study result. Results: The most common post-operative infections after surgical abortion were chlamydia, gonorrhoea and bacterial vaginosis, which averaged to 9,2 %. Doxycycline proved to be the best cost-effective and prophylactic treatment in comparison to other antibiotic drugs included in the studies. Conclusion: This review confirms the results of earlier research showing that antibiotic prophylaxis can possibly reduce the number of postoperative infections.

 

Keywords: abortion, abortion induced, antibiotic prophylaxis, infection. 

Place, publisher, year, edition, pages
2019.
Keywords [en]
abortion, abortion induced, antibiotic prophylaxis, infection.
Keywords [sv]
kirurgisk abort, antibiotikaprofylax, infektion, omvårdnad, vårdlidande.
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-385481OAI: oai:DiVA.org:uu-385481DiVA, id: diva2:1324520
Subject / course
Caring Sciences
Educational program
Specialistsjuksköterskeprogrammet med inriktning mot operationssjukvård
Supervisors
Examiners
Available from: 2019-06-18 Created: 2019-06-13 Last updated: 2019-06-18Bibliographically approved

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