Paper Information

Journal:   THE JOURNAL OF QAZVIN UNIVERSITY OF MEDICAL SCIENCES   Spring 2003 , Volume - , Number 25; Page(s) 53 To 53.
 
Paper: 

COMPARISON OF TWO INFECTION CONTROL REGIMENS IN CESAREAN SECTION

 
 
Author(s):  MOVAHED F., SOOFIZADEH N.
 
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Abstract: 
Background: Regarding the increased number of cesarean section in rite recent decades, connoting side effects such as postoperative infection seems necessary.
Objective: To compare the regimen of one dose Prophylactic antibiotic after cord legation with 7-days antibiotic regimen to control infection in cesarean section.
Methods: In this clinical trial, 50 pregnant women operated due to meconium, breech presentation, repeated cesarean and ellective cesarean, were randomly selected & divided into 2 groups. In the 1st group (2 grams regimen) 2 grams intravenous antibiotic was injected after cord clamp and in the 2nd group (seven days regimen) on the first day after operation, 1 gram intravenous antibiotic was injected 6- hourly and then oral antibiotic was prescribed for seven days.
Findings: Wound infection was seen in 1 patient (4.16°10) in the 1st group and 1 patient (4.3%) in the 2nd group. In seven days regimen, two patients had fever after operation with unknown origin. Hospitalization in both groups was 48-72 hours but in the 2nd group this duration was more than 72 hours in 13% of cases. No significant difference was seen.
Conclusion: Prophylactic antibiotic like multiple dare antibiotic can prevent infection after cesarean section.
 
Keyword(s):  CESAREAN SECTION, POSTOPERATIVE INFECTION, PROPHYLACTIC ANTIBIOTIC
 
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