{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T06:47:04Z","timestamp":1789627624285,"version":"build-2803163510"},"reference-count":10,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2011,1,7]],"date-time":"2011-01-07T00:00:00Z","timestamp":1294358400000},"content-version":"vor","delay-in-days":5272,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[1996,8]]},"abstract":"<jats:p><jats:italic>Background.<\/jats:italic> An increased use of prophylactic antibiotics to avoid postoperative infections in women undergoing hysterectomy has been observed in Sweden. This investigation was performed a) to study the infection rate to enable future evaluation of the effect of prophylactic antibiotic regimens and b) to identify subgroups suitable for intervention.<\/jats:p><jats:p><jats:italic>Method.<\/jats:italic> A prospective study comprising all women undergoing pelvic surgery with hysterectomy during a two month period at forty\u2010two Departments of Obstetrics and Gynecology in Sweden. Relevant information regarding the surgical procedure and the postoperative course was included in a standardized form at discharge from hospital and at a follow\u2010up visit 4 to 6 weeks after surgery.<\/jats:p><jats:p><jats:italic>Results.<\/jats:italic> Of the 1060 women included in the study, 23% developed postoperative infections; 9.4% had wound\u2010, cuff\u2010, and\/or deep infections, 13% urinary tract infections, and 4% other infections unrelated to the surgical site. Only half of the wound\/cuff\u2010\/deep infections were diagnosed before discharge from the hospital. Wertheim\u2010Meigs procedures, bleedings per\u2010operatively exceeding 1000 ml, and presence of bacterial vaginosis (BV) were associated with an increased risk of postoperative infections. Among women undergoing abdominal hysterectomy for benign reasons, (<jats:italic>n<\/jats:italic>=159), wound\u2010cuff\/deep infection was significantly associated with preoperative BV, i.e. 7 of 28 (25%) vs. 11 of 131 (8%), respectively (relative risk=3.0, <jats:italic>p<\/jats:italic>= 0.01). Infection was associated with prolonged postoperative hospital stay. Antibiotics were given pre\u2010 or postoperatively to 236 (22%) of the 1060 women. Reduction in the postoperative infection rate was seen among women undergoing vaginal hysterectomy who were given pre\u2010or postoperative antibiotics.<\/jats:p><jats:p><jats:italic>Conclusion.<\/jats:italic> The postoperative infection rate after hysterectomy was clinically significant in this population. Wertheim\u2010Meigs procedures, peroperative bleeding &gt; 1000 ml and BV were identified as risk factors for postoperative infections after hysterectomy.<\/jats:p>","DOI":"10.3109\/00016349609065742","type":"journal-article","created":{"date-parts":[[2007,11,21]],"date-time":"2007-11-21T19:49:18Z","timestamp":1195674558000},"page":"757-761","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Infections after hysterectomy a prospective nation\u2010wide Swedish study"],"prefix":"10.1111","volume":"75","author":[{"given":"Elisabeth","family":"Persson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mats","family":"Bergstr\u00f6m","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Per\u2010Gunnar","family":"Larsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Moberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens J\u00f6rgen","family":"Platz\u2010christensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kjell","family":"Schedvins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pal","family":"W\u00f8lner\u2010hanssen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"The Study Group on Infectious Diseases in Obstetrics and Gynecology within the Swedish Society of Obstetrics and Gynecology","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,1,7]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"154","article-title":"Prevention of infections after obstetric and gynecologic surgery","volume":"33","author":"Faro S.","year":"1988","journal-title":"J Reprod Med"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(86)90738-6"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198212303072701"},{"key":"e_1_2_1_5_1","first-page":"321","article-title":"Vaginitis: current microbiologic and clinical concepts","volume":"134","author":"Hill L VH","year":"1986","journal-title":"Can Med Assoc J"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(90)91115-S"},{"key":"e_1_2_1_7_1","first-page":"450","article-title":"Clue cells in predicting infections after abdominal hysterectomy","volume":"77","author":"Larsson P. 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