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PubMed · 8693929

Antibiotic prophylaxis in cesarean section.

T K Pedersen·J Blaakaer
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Abstract

BACKGROUND: To investigate the guidelines for patient selection and drug regimens for application of antibiotic prophylaxis in relation to cesarean section in the maternity clinics in Denmark. METHODS: A questionnaire to all the Danish maternity clinics that perform cesarean section, concerning indications for application of antibiotic prophylaxis and antibiotic regimens to patients undergoing acute and elective cesarean section. RESULTS: All departments (n = 48) returned the questionnaire. Twenty departments (46%) provided written guidelines for antibiotic prophylaxis. Four departments (8%) used antibiotic prophylaxis to elective cesarean sections, 25 departments (52%) applied antibiotics to all emergency sections. In the presence of the rupture of membranes or prolongation of labor (> 12 hrs) 58% and 63% of the departments applied antibiotic prophylaxis, respectively. The most infrequent first choice drug was cefuroxim, employed by 27 departments (56%). Concerning timing, 21 departments (44%) applied antibiotics after cord clamping and 13 departments (27%) before incision. CONCLUSION: We propose a nation-wide prospective investigation on the rate of infections associated with cesarean section to set up rational guidelines for antibiotic prophylaxis.

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Anti-Bacterial AgentsCesarean SectionDenmarkElective Surgical ProceduresFemaleGuidelines as TopicHumansObstetrics and Gynecology Department, HospitalPatient SelectionPregnancyPreoperative CareSurgical Wound InfectionSurveys and QuestionnairesJournal Article

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T K Pedersen, J Blaakaer. 1996. Antibiotic prophylaxis in cesarean section.. https://doi.org/10.3109/00016349609054667

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