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	Antibiotic prophylaxis of extensive obstetric perineal injuries repair Menzlová, Erika ; Záhumenský, Jozef (advisor) ; Procházka, Martin (referee) ; Roztočil, Aleš (referee) Objective Our aim was to compare two regimens of antibiotic prophylaxis at the time of repair of obstetric anal sphincter injury. Benefit of long regimen of antibiotic prophylaxis in comparison with short regimen of antibiotic administration haven't been till now proven. Material and Methods Women who gave vaginal birth in department of gynaecology and obstetrics of the First Faculty of Medicine of Charles University and Hospital Bulovka from 1.1.2008 to 30.6.2013 and who sustained third - or fourth - degree perineal tears have been enrolled in our trial. All women who fulfilled trial criteria received at the time of repair antibiotic prophylaxis which was cefuroxim (second - generation cephalosporin). This antibiotic has good sensitivity to vaginal gram-positive flora and to rectal gram-negative microorganisms too. Suture technique and following postpartum care have been standardized. All enrolled women were checked 2 weeks and 3 months after delivery. We evaluated subjective and objective parameters of healing of the obstetric perineal injury and 3 months postpartum we looked for symptomps regarding anal incontinence. The Manchester questionnaire was used for evaluation of anal incontince occurance. Results Incidence of third - and fourth - degree perineal tears was 1,4 % during period of our... Detailed record
	Antibiotic prophylaxis of extensive obstetric perineal injuries repair Menzlová, Erika ; Záhumenský, Jozef (advisor) ; Procházka, Martin (referee) ; Roztočil, Aleš (referee) Objective Our aim was to compare two regimens of antibiotic prophylaxis at the time of repair of obstetric anal sphincter injury. Benefit of long regimen of antibiotic prophylaxis in comparison with short regimen of antibiotic administration haven't been till now proven. Material and Methods Women who gave vaginal birth in department of gynaecology and obstetrics of the First Faculty of Medicine of Charles University and Hospital Bulovka from 1.1.2008 to 30.6.2013 and who sustained third - or fourth - degree perineal tears have been enrolled in our trial. All women who fulfilled trial criteria received at the time of repair antibiotic prophylaxis which was cefuroxim (second - generation cephalosporin). This antibiotic has good sensitivity to vaginal gram-positive flora and to rectal gram-negative microorganisms too. Suture technique and following postpartum care have been standardized. All enrolled women were checked 2 weeks and 3 months after delivery. We evaluated subjective and objective parameters of healing of the obstetric perineal injury and 3 months postpartum we looked for symptomps regarding anal incontinence. The Manchester questionnaire was used for evaluation of anal incontince occurance. Results Incidence of third - and fourth - degree perineal tears was 1,4 % during period of our... Detailed record
	Experience of Nurses with Administration of Blood and Blood preparations in the Emergency Departement Víchová, Karolína ; Menzlová, Erika (referee) ; Hocková, Jana (advisor) In this diploma work i will be interested in experience of nurses with the blood transaction and blood derivate. Part of my diploma work is research about blood - transfusion application problems, experience of nurses with practise of transfusion, if they have got all information and know all complications, which could happend and if they are controled by doctors during this operation. After agreement of deputy manager for nurse care I have done this survey investigation in the four Prague's teaching hospitals. Detailed record

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