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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 SurgĀ 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.

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Part of the charitable activity of the Foundation, BJS Academy is an online educational resource for current and future surgeons.

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