Strategies for antibiotic administration for bowel preparation among patients undergoing elective colorectal surgery. A network meta-analysis.
Woodfield JC, Clifford K, Schmidt B, Turner GA, Amer MA, McCall JL.
JAMA Surg 2022; 157: 34-41.
This analysis included 8377 patients from 35 RCTs. Optimal reduction in infection/dehiscence rates was achieved by a combination of oral and intravenous antibiotics, with or without cleansing with enema. The addition of oral to intravenous antibiotics reduced surgical site infection by greater than 50 per cent.
Comment: the best evidence that both oral and intravenous antibiotics should be routine.
1 February 2022
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