Efficacy of Prophylactic Antibiotics in Bakri Intrauterine Balloon Placement: A Single-Center Retrospective Analysis and Literature Review
Objective Bakri intrauterine balloon (BIUB) placement is an effective treatment for postpartum hemorrhage (PPH). This study aims to evaluate the risk of infection during BIUB placement. Study Design Data for all deliveries (n = 2,144) at our institution between January 2014 and March 2018...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2020-01-01
|
| Series: | American Journal of Perinatology Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708487 |
| _version_ | 1818389094910132224 |
|---|---|
| author | Yoshikazu Nagase Shinya Matsuzaki Yoko Kawanishi Satoshi Nakagawa Aiko Kakigano Tsuyoshi Takiuchi Kazuya Mimura Takuji Tomimatsu Masayuki Endo Tadashi Kimura |
| author_facet | Yoshikazu Nagase Shinya Matsuzaki Yoko Kawanishi Satoshi Nakagawa Aiko Kakigano Tsuyoshi Takiuchi Kazuya Mimura Takuji Tomimatsu Masayuki Endo Tadashi Kimura |
| author_sort | Yoshikazu Nagase |
| collection | DOAJ |
| description | Objective Bakri intrauterine balloon (BIUB) placement is an effective treatment for postpartum hemorrhage (PPH). This study aims to evaluate the risk of infection during BIUB placement.
Study Design Data for all deliveries (n = 2,144) at our institution between January 2014 and March 2018 were retrospectively reviewed. Patients diagnosed with PPH (n = 758) were included in our analysis, further divided into BIUB (n = 80) and non-BIUB groups (n = 678), and subdivided into vaginal delivery (VD), elective cesarean delivery (CD), and emergency CD groups. Postpartum endometritis rate was compared in each group. A single dose of prophylactic antibiotics was administered for BIUB placement in the VD group. In the CD groups, antibiotics were administered preoperatively once, and no additional antibiotics for BIUB placement were administered. To obtain an antibiotics administration protocol to be applied during BIUB placement, we electronically searched the PubMed and Scopus databases.
Results No significant differences were observed in endometritis rates between BIUB and non-BIUB groups of all groups. In the literature review, of 27 suitable publications identified, multiple doses of antibiotics were administered in 17 (62.9%) studies and none investigated the efficacy of a protocol for antibiotic.
Conclusion Our protocol might be effective and sufficient in preventing postpartum BIUB placement-related endometritis. |
| first_indexed | 2024-12-14T04:36:17Z |
| format | Article |
| id | doaj.art-1714c80f10ab4016aa35f13702b5cf21 |
| institution | Directory Open Access Journal |
| issn | 2157-6998 2157-7005 |
| language | English |
| last_indexed | 2024-12-14T04:36:17Z |
| publishDate | 2020-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | American Journal of Perinatology Reports |
| spelling | doaj.art-1714c80f10ab4016aa35f13702b5cf212022-12-21T23:16:57ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-70052020-01-011001e106e11210.1055/s-0040-1708487Efficacy of Prophylactic Antibiotics in Bakri Intrauterine Balloon Placement: A Single-Center Retrospective Analysis and Literature ReviewYoshikazu Nagase0Shinya Matsuzaki1Yoko Kawanishi2Satoshi Nakagawa3Aiko Kakigano4Tsuyoshi Takiuchi5Kazuya Mimura6Takuji Tomimatsu7Masayuki Endo8Tadashi Kimura9Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, JapanDepartment of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, JapanDepartment of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, JapanDepartment of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, JapanDepartment of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, JapanDepartment of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, JapanDepartment of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, JapanDepartment of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, JapanDepartment of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, JapanDepartment of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, JapanObjective Bakri intrauterine balloon (BIUB) placement is an effective treatment for postpartum hemorrhage (PPH). This study aims to evaluate the risk of infection during BIUB placement. Study Design Data for all deliveries (n = 2,144) at our institution between January 2014 and March 2018 were retrospectively reviewed. Patients diagnosed with PPH (n = 758) were included in our analysis, further divided into BIUB (n = 80) and non-BIUB groups (n = 678), and subdivided into vaginal delivery (VD), elective cesarean delivery (CD), and emergency CD groups. Postpartum endometritis rate was compared in each group. A single dose of prophylactic antibiotics was administered for BIUB placement in the VD group. In the CD groups, antibiotics were administered preoperatively once, and no additional antibiotics for BIUB placement were administered. To obtain an antibiotics administration protocol to be applied during BIUB placement, we electronically searched the PubMed and Scopus databases. Results No significant differences were observed in endometritis rates between BIUB and non-BIUB groups of all groups. In the literature review, of 27 suitable publications identified, multiple doses of antibiotics were administered in 17 (62.9%) studies and none investigated the efficacy of a protocol for antibiotic. Conclusion Our protocol might be effective and sufficient in preventing postpartum BIUB placement-related endometritis.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708487bakri balloonballoon tamponadecomplicationendometritisprophylactic antibioticspostpartum hemorrhage |
| spellingShingle | Yoshikazu Nagase Shinya Matsuzaki Yoko Kawanishi Satoshi Nakagawa Aiko Kakigano Tsuyoshi Takiuchi Kazuya Mimura Takuji Tomimatsu Masayuki Endo Tadashi Kimura Efficacy of Prophylactic Antibiotics in Bakri Intrauterine Balloon Placement: A Single-Center Retrospective Analysis and Literature Review American Journal of Perinatology Reports bakri balloon balloon tamponade complication endometritis prophylactic antibiotics postpartum hemorrhage |
| title | Efficacy of Prophylactic Antibiotics in Bakri Intrauterine Balloon Placement: A Single-Center Retrospective Analysis and Literature Review |
| title_full | Efficacy of Prophylactic Antibiotics in Bakri Intrauterine Balloon Placement: A Single-Center Retrospective Analysis and Literature Review |
| title_fullStr | Efficacy of Prophylactic Antibiotics in Bakri Intrauterine Balloon Placement: A Single-Center Retrospective Analysis and Literature Review |
| title_full_unstemmed | Efficacy of Prophylactic Antibiotics in Bakri Intrauterine Balloon Placement: A Single-Center Retrospective Analysis and Literature Review |
| title_short | Efficacy of Prophylactic Antibiotics in Bakri Intrauterine Balloon Placement: A Single-Center Retrospective Analysis and Literature Review |
| title_sort | efficacy of prophylactic antibiotics in bakri intrauterine balloon placement a single center retrospective analysis and literature review |
| topic | bakri balloon balloon tamponade complication endometritis prophylactic antibiotics postpartum hemorrhage |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708487 |
| work_keys_str_mv | AT yoshikazunagase efficacyofprophylacticantibioticsinbakriintrauterineballoonplacementasinglecenterretrospectiveanalysisandliteraturereview AT shinyamatsuzaki efficacyofprophylacticantibioticsinbakriintrauterineballoonplacementasinglecenterretrospectiveanalysisandliteraturereview AT yokokawanishi efficacyofprophylacticantibioticsinbakriintrauterineballoonplacementasinglecenterretrospectiveanalysisandliteraturereview AT satoshinakagawa efficacyofprophylacticantibioticsinbakriintrauterineballoonplacementasinglecenterretrospectiveanalysisandliteraturereview AT aikokakigano efficacyofprophylacticantibioticsinbakriintrauterineballoonplacementasinglecenterretrospectiveanalysisandliteraturereview AT tsuyoshitakiuchi efficacyofprophylacticantibioticsinbakriintrauterineballoonplacementasinglecenterretrospectiveanalysisandliteraturereview AT kazuyamimura efficacyofprophylacticantibioticsinbakriintrauterineballoonplacementasinglecenterretrospectiveanalysisandliteraturereview AT takujitomimatsu efficacyofprophylacticantibioticsinbakriintrauterineballoonplacementasinglecenterretrospectiveanalysisandliteraturereview AT masayukiendo efficacyofprophylacticantibioticsinbakriintrauterineballoonplacementasinglecenterretrospectiveanalysisandliteraturereview AT tadashikimura efficacyofprophylacticantibioticsinbakriintrauterineballoonplacementasinglecenterretrospectiveanalysisandliteraturereview |