Background: Prophylactic antibiotics during cesarean section have been shown to be beneficial
in reducing infection in women at high risk (in labor after rupture of membranes), or at low risk
(not yet in labor and with membranes). A single dose of antibiotic prior to skin incision is as
effective as multiple doses of antibiotics given intraoperatively and reduces the risk of infection by
more than 50%, length of hospital stay and cost savings.
Methods: A prospective, cross-sectional study of 337 cesarean section patients using
prophylactic antibiotics at Ca Mau Obstetrics and pediatrics hospital from June 2019 to June 2020.
Results: The study recorded the age from 18 to 46 years old; 53.2% of children compared;
53.7% of pregnant women did not have tuberous incisions; 56.7% of women with ectopic
pregnancy from 37-40 weeks; 67.7% of women with ectopic pregnancy during labor; 21.4% of
women used prophylatic antibiotics dose 2; 14.6% of women switched to antibiotics after using
prophylatic antibiotics; 62% hospitalized for less than 5 days; 99.4% of women did not have
surgical site infection.
Conclusions: Prophylactic antibiotics reduce the risk of wound infection and length of hospital
stay.
RESULT OF USING PROPHYLATIC ANTIBIOTICS FOR CESAREAN SECTION IN CA MAU OBSTETRICS AND PEDIATRICS HOSPITAL
18
Views
0
Downloads
Keywords
Prophylactic antibiotics, caesarean section, Ca Mau Obstetrics and Pediatrics Hospital
Abstract
References
[1]
Bộ Y tế, "Hướng dẫn Sử dụng Kháng
Google Scholar
[2]
sinh" (Ban hành kèm theo Quyết định số
Google Scholar
[3]
/QĐ-BYT ngày 02/3/2015 của Bộ trưởng
Google Scholar
[4]
Bộ Y tế), trang 41, 178, 2015.
Google Scholar
[5]
Nguyễn Bá Mỹ Nhi, “Kháng sinh dự
Google Scholar
[6]
phòng trong mổ lấy thai”, Hội nghị giao ban
Google Scholar
[7]
công tác chỉ đạo tuyến sản nhi 32 tỉnh thành
Google Scholar
[8]
phía Nam và sinh hoạt khoa học ngày 12 tháng
Google Scholar
[9]
năm 2016, trang 1-12.
Google Scholar
[10]
Đoàn Mai Phương, “Tình hình kháng
Google Scholar
[11]
kháng sinh của vi khuẩn gây nhiễm khuẩn vết
Google Scholar
[12]
mổ tại Bệnh viện Bạch Mai và một số Bệnh
Google Scholar
[13]
viện tỉnh phía Bắc”, Tạp chí Y học lâm sàng, số
Google Scholar
[14]
, tr. 64 – 69, 2019.
Google Scholar
[15]
Lê Thị Hồng Vân, Nguyễn Thị Minh
Google Scholar
[16]
Tâm, “Khảo sát kết quả sử dụng kháng sinh dự
Google Scholar
[17]
phòng trong mổ lấy thai tại khoa Sản Bệnh viện
Google Scholar
[18]
Quân Y 103”, Tạp chí Y học Quân sự số 6 -
Google Scholar
[19]
Bratzler DW, Olsen KM et al., Clinical
Google Scholar
[20]
Practice Guidelines for Antimicrobial
Google Scholar
[21]
Prophylaxis in Surgery, American Journal of
Google Scholar
[22]
Health-System Pharmacy 70 (2013) 195 –
Google Scholar
[24]
Lamont RF, Sobel JD, Current debate on
Google Scholar
[25]
the use of antibiotic prophylaxis for caesarean
Google Scholar
[26]
section, BJOG: An International Journal of
Google Scholar
[27]
Obstetrics & Gynaecology118 (2011) 193-201.
Google Scholar
[28]
Smaill FM, Grivell RM, Antibiotic
Google Scholar
[29]
prophylaxis versus no prophylaxis for
Google Scholar
[30]
preventing infection after cesarean section,
Google Scholar
[31]
Cochrane Database Syst Rev 10(2014)
Google Scholar
[32]
CD007482.
Google Scholar
[33]
Tita AT, Szychowski JM, Boggess K et
Google Scholar
[34]
al., C/SOAP Trial Consortium. Adjunctive
Google Scholar
[35]
azithromycin prophylaxis for Cesarean
Google Scholar
[36]
delivery. N Engl J Med. 2016;375:1231-1241.
Google Scholar
[37]
Weinstein RA, Boyer KM, Antibiotic
Google Scholar
[38]
prophylaxis for cesarean delivery - when
Google Scholar
[39]
broader is better. N Engl J Med.
Google Scholar
[40]
;375:1284-1286.
Google Scholar