Articles Vol. 65 No. CĐ 2 - NCKH 08/04/2024

26. THE RATE OF WOUND INFECTION AFTER THE USE OF ANTIBIOTIC PROPHYLAXIS IN CESAREAN SECTION AT THAI NGUYEN GENERAL HOSPITAL IN 2022

Nguyen Thi Anh1,2, Vu Van Hiep1,2, Ngo Toan Anh3,4, Doan Thi Hue1,2
1 Thai Nguyen University Medicine and Phacmacy
2 Trường Đại học Y Dược Thái Nguyên
3 National Hospital of Obstetrics and Gynecology
4 Bệnh viện Phụ sản Trung ương
DOI: 10.52163/yhc.v65iCD2.1030
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Keywords
Wound infections, Antibiotics prophylaxis, caesarean section.
Abstract

Objectives: This study aimed to describe clinical and sub-clinical characteristics of C-section patients after using of antibiotic prophylaxis at Thai Nguyen General Hospital in 2022.

Materials and methods: A cross-sectional descriptive study with 184 caesarean section patients was randomly selected from July 1, 2022 to December 31, 2022.

Results: The average age is 28.36±5.0 years old, the was 88.6% in the age group ≤ 35 years old. Most women give birth for the second or third time, accounting for a high rate of 76.1% and 13.6%. The majority of pregnant women with a history of cesarean section had a cesarean section at 84.2%. Most women give birth for the second or third time, accounting for a high rate of 76.1% and 13.6%. A previous C-section was the most frequent indication at 84.2%. Most surgery times were from 30-60 minutes 95.7%. There were 2 cases of patients with fever after surgery, with temperatures ranging from 37.50C-38.5°C were 1.1%. There were 99.5% of cases with good uterine involution. All pregnant women in the study had normal post-operative lochia. The rate of dry incisions was 98.4%, incision swelling and pain was 0.5%, and incisions with dressing seepage was 1.1%. There were 05 cases of hospitalization for 7 days or more was 2.7%. There were 03 cases of superficial surgical wound infection, accounting for 1.6% and 98.4% of cases had no surgical wound infection.

Conclusion: Using minimal doses of prophylactic antibiotics reduces the rate of surgical wound infection after cesarean section.

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