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RMU

Uruguayan Medical Journal

ISSN: 1688-0390


Vol.19 - Nº 1 - May. 2003

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Antibiotic prophylaxis in cesarean. Hospital Center Pereira Rossell (CHPR): the needs of protocols

SPERANZA N; TELECHEA H; BANCHERO P; GIACHETTO G; VÁZQUEZ X; GRECZANIK A; SEADE C
Rev Med Urug 2003; 19: 66-70
Full text (spanish) |  Full text (spanish) (New windows, pdf) | Abstract

Abstract

Objective: to undertake a situational diagnosis of prophylactic use of antibiotics in cesareans at the Centro Hospitalario Pereira Rossell (CHPR).

Methods: we analyzed the characteristics of prophylaxis antibiotic therapy in hospitalized patients who underwent cesarean in the CHPR from November to December 2001.

Results: one patient of a total of 140 did not receive chemoprophylaxis. Indicated antibiotics were cephazoline 57.5%, ampiciline-sulbactam 33.1% and cephradine 9.4%.

Prophylaxis started after surgery in 55.4% cases (mean 5 hours), before surgery in 23.7% and during surgery in 20.9%. Antibiotic therapy lasted 2 days (mean, range 0- 11). There were no differences between patients on urgent surgery and coordinated surgery in relation to antibiotic characteristics.

Conclusions: problems related to antibiotic choice, administration time and prophylaxis duration were identified in cesareans. A protocolization by means of intravenous single-dose cephazoline is suggested. Future studies to assess its application should be done.