Prophylactic antibiotics in elective cesarean section.

Min, Kyung Soo; Kim, Heung Seo; Lee, Min A; Kim, Yong Il; Seo, Young Seok; Lee, Ki Hwan; Rhee, Yun Ee

Original Article

Korean Journal of Obstetrics & Gynecology 2002;45(9):1511-1515.
Published online September 1, 2002.

Prophylactic antibiotics in elective cesarean section.

Kyung Soo Min, Heung Seo Kim, Min A Lee, Yong Il Kim, Young Seok Seo, Ki Hwan Lee, Yun Ee Rhee

Department of Obstetrics and Gynecology, College of Medicine, Chungnam National University, Daejeon, Korea.

Abstract

OBJECTIVE
To evaluate effectiveness of short-course administration of prophylactic antibiotics in elective cesarean section compared with multiple, long-course administration. METHODS: Forty women undergoing elective cesarean section had prophylactic antibiotics administration preoperatively and 2 times more within 24 hours after operation. Forty women was control group who had antibiotics administration postoperatively 5 or 6 times with multiple regimens and 7 days more per oral. Postpartum complications including febrile morbidity, endometritis, wound infection, urinary tract infection were recorded, as were the duration of hospital stay and need for therapeutic antibiotics. RESULTS: Postpartum complications including febrile morbidity, endometritis, wound infection and urinary tract infection had no difference between two groups significantly. Also, their hospital stay had no difference significantly. CONCLUSION: Prophylactic and short-course antibiotics administration in elective cesarean section is considered to have no difference in comparison with multiple, long-course post-operative administration. Short- course prophylactic antibiotics administration will reduce side effect of drugs and resistance. Also it will provide better cost effectiveness.

Key Words: Cesarean section, Prophylactic antibiotics