PROPHYLACTIC VERSUS REGULAR USE OF ANTIBIOTICS IN CESAREAN SECTION

Abstract

The aim of this study was to compare the prophylactic use of antibiotic verses regular antibiotics in caesarean section.

Background: Present study was conducted at Shri Vinoba Bhave Civil Hospital, Silvassa in the department of OBGY. A total of 200 patients were included in the study. Patients were divided into two groups, first group of 100 was designated as prophylactic group and second group of 100 patients who received full antibiotic and designated as regular group. A written informed consent from all the patients was taken.

Result: In post-operative morbidities 2 % each in both the groups experienced fever which was statistically non-significant; in prophylactic group 3% had wound infection while in regular group only 1% had wound infection which was non-significant. Urinary tract infection was observed in 1% and 2% in prophylactic group and regular group respectively which was also non-significant.in no case septicaemia was observed.

Conclusion: Single dose antibiotic prophylaxis in caesarean section is recommended as multiple dose or regular use of antibiotics in elective caesarean section does not significantly reduce the postoperative complications and can increase the burden of antibiotic resistance.