NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG CỦA CÁC TRƯỜNG HỢP THAI PHỤ SỬ DỤNG DỰ PHÒNG CEFAZOLIN TRONG PHẪU THUẬT LẤY THAI TẠI BỆNH VIỆN ĐA KHOA LÂM ĐỒNG

Abstract

Objective: Determine the rate and relationship with surgical wound infection in pregnant women using a single dose of Cefazolin 2g before skin incision at Lam Dong General Hospital. Methods: Prospective descriptive study design surveyed 357 cases of pregnant women scheduled for cesarean section, using Cefazolin 2g single dose before skin incision at Lam Dong General Hospital from January February 2023 - July 2023. Standards for assessing surgical site infection using the ASEPSIS scale are considered infections when >20 points. Results: The surgical wound infection rate was 10/357 cases: 2.8% (95% CI: 1.1 - 4.8). All cases were diagnosed as superficial surgical wound infections, no cases of deep surgical wound infections were recorded. Pregnant women aged 35 or older are associated with a higher rate of postoperative infection with adjusted OR POR=6.5 (95% CI: 1.2 - 34.9). Preoperative anemia is associated with postoperative infection rate with adjusted OR POR=7.6 (95% CI: 1.1 - 52.2). Conclusion: The ASEPSIS scale is highly effective in assessing post-operative infection. Attention should be paid to monitoring cases of women aged 35 years and older with prenatal anemia and post-operative fever. art.