ĐÁNH GIÁ KẾT QUẢ VIỆC SỬ DỤNG KHÁNG SINH DỰ PHÒNG CEFAZOLIN 1G TRONG MỔ LẤY THAI TẠI BỆNH VIỆN ĐA KHOA ĐÔNG ANH NĂM 2023

Abstract

Objective: To review the characteristics and clinical outcomes of pregnant women receiving prophylactic antibiotic Cefazolin 1g during cesarean sections and evaluate the effectiveness of its use. Subjects and Methods: This prospective study was conducted on all pregnant women undergoing cesarean sections with prophylactic Cefazolin administration at the hospital's Obstetrics Department between July 1, 2023, and September 30, 2023. Results: The average age of the participants was 27.61 ± 4.61 years. Among the indications for surgery, the most common was a previous cesarean section (70.9%). Most surgeries lasted less than 60 minutes. The average length of hospital stay was 4.18 ± 0.98 days, with early discharges (within 3 days) accounting for 42%. Prophylactic antibiotic use followed the Ministry of Health guidelines. No cases required additional antibiotic treatment during the hospital stay. Follow-up calls 30 days after discharge revealed no cases of wound infection during hospitalization. However, 5 cases of wound infection (5%) were reported within 30 days after discharge. Other postpartum complications were mild and resolved without additional intervention. The cost of using prophylactic antibiotics was more economical compared to treatment antibiotics. Conclusion: The use of prophylactic Cefazolin 1g in cesarean sections, according to the Ministry of Health's guidelines, is safe, reduces treatment time, and offers economic benefits. It is recommended for routine application in the Obstetrics Department of Dong Anh General Hospital.