Korean J Obstet Gynecol.  2010 Mar;53(3):227-234. 10.5468/kjog.2010.53.3.227.

A prospective multicenter randomized study on prophylactic antibiotics use in cesarean section performed at tertiary center

• Ko JK
• Cho YK
• Yang HJ
• Park CW
• Park JS
• Jun JK
• Kim MG
• Won HS
• Lee PR
• Kim A

• KMID: 2273848
• DOI: http://doi.org/10.5468/kjog.2010.53.3.227

Abstract

OBJECTIVE
To determine whether the duration and timing of prophylactic antibiotics influence maternal postoperative infectious morbidity in cesarean section performed at tertiary center.
METHODS
This study was a prospective, randomized trial. Pregnant women who underwent cesarean section between December 2008 and September 2009 at tertiary center were enrolled and divided into two groups: Group A, antibiotic prophylaxis was applied for 24 hours and Group B, antibiotic prophylaxis was applied for 48 hours. First generation of cephalosporin was administrated within 30 minutes prior skin incision or after cord clamping. The occurrence of postoperative infectious morbidity such as febrile morbidity, wound infection, endometritis, urinary track infection, pneumonia, sepsis and pelvic abscess and hospital stays were compared.
RESULTS
There were 413 pregnant women enrolled and then randomized into 220 for group A and 197 for group B. No demographic differences were observed between two groups. The infectious morbidity was 1.9% (8/413) and wound infection was the most common postoperative infections morbidity. No significant difference was found between the groups for infectious morbidity and hospital stays. Also timing of prophylactic antibiotics did not result in significant difference for infectious morbidity.
CONCLUSION
Short course of prophylactic antibiotics has been shown to be as efficacious as multidose of prophylactic antibiotics for preventing infectious morbidity in cesarean section and timing did not influence on infections morbidity. Further studies focusing on duration and timing of prophylactic antibiotics for cesarean section are needed.

Keyword

Prophylactic antibiotics; Cesarean section; Infectious morbidity

MeSH Terms

Abscess
Anti-Bacterial Agents
Antibiotic Prophylaxis
Cesarean Section
Constriction
Endometritis
Female
Humans
Length of Stay
Pneumonia
Pregnancy
Pregnant Women
Prospective Studies
Sepsis
Skin
Track and Field
Wound Infection
Anti-Bacterial Agents

Figure

• 

  Figure 1 Structure of the study population. (Group A, Antibiotic prophylaxis for 24 hours, Group B, Antibiotic prophylaxis for 48 hours)

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