26. THE RATE OF WOUND INFECTION AFTER THE USE OF ANTIBIOTIC PROPHYLAXIS IN CESAREAN SECTION AT THAI NGUYEN GENERAL HOSPITAL IN 2022
Main Article Content
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.
Article Details
Keywords
Wound infections, Antibiotics prophylaxis, caesarean section.
References
24/3/2023 về việc ban hành hướng dẫn giám sát
nhiễm khuẩn vết mổ, 2023.
[2] Bộ Y tế, Quyết định số 4128/QĐ-BYT, ngày
29/7/2016 Bộ Y tế ban hành về việc Phê duyệt tài
liệu “Hướng dẫn quốc gia về các dịch vụ chăm
sóc sức khỏe sinh sản”, 2016.
[3] Lê Thị Thu Hà, Yếu tố nguy cơ nhiễm khuẩn vết
mổ sau mổ lấy thai tại Bệnh viện Từ Dũ; Y học
Việt Nam. 2(443), 2016, p. 9-13.
[4] Nguyễn Thị Kim Thu, Nguyễn Thị Hương Ly,
Đánh giá tình trạng nhiễm khuẩn vết mổ lấy thai
tại Khoa Sản, Bệnh viện Trung ương Quân đội
108; Tạp chí Y Dược lâm sàng 108, 16(4), 2021.
[5] Trịnh Thanh Nhung, Phạm Hồng Loan, Nguyễn
Hoàng Huy và cộng sự, Đánh giá hiệu quả kháng
sinh dự phòng trong mổ lấy thai tại Bệnh viện đa
khoa khu vực tỉnh An Giang; Hội nghị Khoa học
Công nghệ; p. 167-173, 2016.
[6] Mariska NSRD, Danti NI, Rebekah JS, The Effect
of Pre-Operating Antibiotic Prophylaxis on Post
C-Section Infection In RSUD DR. Soetomo
Period January 2021 – June 2021. International
Journal of Social Service and Research (IJSSR);
2(1), 2021.
[7] Williams MJ, Carvalho Ribeiro do Valle C,
Gyte GM, Different classes of antibiotics given
to women routinely for preventing infection at
caesarean section. The Cochrane database of
systematic reviews, 3(3), pp. CD008726, 2021.
[8] Zejnullahu VA, R Isjanovska, Z Sejfija et al.,
Surgical site infections after cesarean sections at
the University Clinical Center of Kosovo: rates,
microbiological profile and risk factors. BMC
Infect Dis. 19(1): p. 752, 2019.