Acute bacterial salpingitis. the importance of residual inflammation. a comparative study with celioscopic control of 2 antibiotic protocols: sulbactam-ampicillin versus cefoxitin
Le Bouedec, G.; Pouly, J.L.; Mage, G.; Canis, M.; Wattiez, A.; Abbas Muhktar, B.; Bruhat, M.A.
Journal de Gynecologie Obstetrique et Biologie de la Reproduction 19(6): 765-772
1990
ISSN/ISBN: 0368-2315 PMID: 2147930 Document Number: 353266
The combination of sulbactam-ampicillin was compared to cefoxitin for the treatment of acute salpingitis in 40 women divided into two groups of 20 women each. There were 11 patients in each group who were given doxycycline because of evidence of chlamydial infection. All patients were diagnosed by laparoscopic examination and evaluated by the same procedure 7-12 weeks later: At the second laparoscopy, only 1 of the 20 patients (5%) treated with sulbactam/ampicillin had severe adhesions, while 6 of the 20 patients (40%) treated with cefoxitin had severe adhesions. Tubal patency was without obstruction in 14 patients (70%) given the combination treatment and in 12 patients (60%) given cefoxitin. Side effects were essentially absent in both groups.