Bowel preparation for colorectal procedures a review of clinical effectiveness, cost-effectiveness and guidelines

While there is some evidence that suggests that mechanical bowel preparation (MBP) should not be used alone, there is renewed interested in determining the role of MBP, together with preoperative oral antibiotics. Recent retrospective analyses of large databases have suggested that there is an impor...

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Main Authors: La Fleur, Philip, Adcock, Lorna (Author)
Corporate Author: Canadian Agency for Drugs and Technologies in Health
Format: eBook
Language:English
Published: Ottawa (ON) Canadian Agency for Drugs and Technologies in Health 2018, April 2018
Edition:Version 1.0
Series:CADTH rapid response report: summary with critical appraisal
Subjects:
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Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
Summary:While there is some evidence that suggests that mechanical bowel preparation (MBP) should not be used alone, there is renewed interested in determining the role of MBP, together with preoperative oral antibiotics. Recent retrospective analyses of large databases have suggested that there is an important role for the combination of MBP and oral antibiotics in reducing postoperative surgical site infections in elective colorectal surgery. The objective of this report is to review the clinical effectiveness, cost-effectiveness, and evidence-based guidelines related to intravenous antibiotic prophylaxis (alone) compared to intravenous antibiotics plus oral prophylaxis and/or MBP.
Physical Description:1 PDF file (23 pages)