When osmotic dilators* are NOT used: |
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When osmotic dilators* are used: |
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D&E: dilation and evacuation; IgE: immunoglobulin E; IV: intravenously.
* Types of osmotic dilators include laminaria japonica and Dilapan-S.
¶ Azithromycin may have a lower side effect profile (eg, less nausea) compared with regimens that include doxycycline.
Δ Because of its long half-life, a second dose of azithromycin is only given if the surgical abortion is performed >24 hours after the initial dose of antibiotics.
◊ This regimen is based on institutional protocol and is not included in expert guidelines.
§ Ceftriaxone provides additional coverage for gonococcal infection; however, other cephalosporins (eg, cefazolin) may be used depending on several factors, including local availability. Most patients with a reported mild penicillin allergy can use cephalosporins safely (excluding those with features of IgE-mediated allergy such anaphylaxis, angioedema, or urticaria).
¥ In this regimen, antibiotics are not administered at the time of dilator placement.Do you want to add Medilib to your home screen?