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The use of intra-abdominal antibiotics during caesarean sections in cows

Clinical Scenario

You have just started a new job and you are called out to a calving on your first night on duty. On examination, it is evident that the Hereford X cow requires a caesarean as the calf is very large. You carry out the surgery which results in a healthy heifer calf.  As you suture up the cow, the farmer tells you that the senior partner always 'puts antibiotics in the abdomen' and asks why you have not done so this time. You were not aware of any relevant practice protocols on caesarean sections in cows so explain to the farmer that you perceive there is no need to give antibiotics in a straight-forward case like this. After some debate, you finish your suturing without putting anything in the abdomen, but you wonder if there is any evidence to support the use of intra-abdominal antibiotics...

3-Part Question (PICO)

In [cows undergoing caesarean section] does the use of [intra-abdominal antibiotics compared to no intra-abdominal antibiotics] improve [post-operative survival rates]?

Search Strategy and Summary of Evidence

Search Strategy

MEDLINE(R) In-Process & Other Non-Indexed Citations and MEDLINE(R) 1946 to Present using the OVID interface

cow.mp. OR cows.mp. OR cattle.mp. OR bovine.mp. OR bovines.mp. OR bos.mp. OR exp Cattle/

AND

Caesar$.mp. OR Cesar$.mp. OR c section.mp. OR exp Cesarean Section/

AND

antibacterial.mp. or antibacterials.mp. OR antibiotic.mp. OR antibiotics.mp. OR antimicrobial.mp. OR antimicrobials.mp. OR exp Anti-Bacterial Agents/ OR exp Anti-Infective Agents/

CAB Abstracts 1910 to Present using the OVID interface

cow.mp. OR cows.mp. OR cattle.mp. OR bovine.mp. OR bovines.mp. OR bos.mp. OR exp cows/ OR exp cattle/ OR exp Bos/

AND

Caesar$.mp. OR Cesar$.mp. OR c section.mp. OR exp caesarean section/

AND

antibacterial.mp. or antibacterials.mp. OR antibiotic.mp. OR antibiotics.mp. OR antimicrobial.mp. OR antimicrobials.mp. OR exp antibacterial agents/ OR exp antibiotics/ OR exp antiinfective agents/

Search Outcome

MEDLINE

  • 26 papers found in MEDLINE search
  • 24 papers excluded as they don't meet the PICO question
  • 0 papers excluded as they are in a foreign language
  • 2 papers excluded as they are review articles/in vitro research/conference proceedings
  • 0 total relevant papers from MEDLINE

CAB Abstracts

  • 50 papers found in CAB search
  • 47 papers excluded as they don't meet the PICO question
  • 0 papers excluded as they are in a foreign language
  • 3 papers excluded as they are review articles/in vitro research/conference proceedings
  • 0 total relevant papers from CAB

Total relevant papers

0 relevant papers from both MEDLINE and CAB Abstracts

Comments

No relevant papers were found that directly addressed the comparison of interest.

Summary of Evidence

No Summary of Evidence yet.

Comments

Bottom line

No evidence was found to support or refute the use of intra-abdominal antibiotics during caesarean sections in cows.

Disclaimer

The BETs on this website are a summary of the evidence found on a topic and are not clinical guidelines. It is the responsibility of the individual veterinary surgeon to ensure appropriate decisions are made based on the specific circumstances of patients under their care, taking into account other factors such as local licensing regulations. Read small print

References

About this BET

First author:
Rachel Dean
Second author:
Marnie Brennan
Institution:
CEVM, University of Nottingham
Search last performed:
2015-07-29 07:48:29
Original publication date:
2015-07-31 07:48:29
Last updated:
2015-07-31 07:48:29
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