Prophylactic pre-operative broad spectrum (Extended Spectrum)‎ antibiotic for elective cesarean section in low socio-demographic society

Abstract EN

Introduction: In Cesarean section the absence of prophylactic antibiotics, the rates of postpartum endometritis can be as high as 35% to 40%.

This rate varies dramatically according to tiie clinical situation; the use of routine prophylactic antibiotics substantially reduces the rate of infection.

(Peter, 2007) Objectives; Our aims to test the efficacy of dose of 2 gram of cefatriaxone as single dose pre operatively as extended broad spectrum antibiotics in prophylaxis against post Cesarean section infection in elective opération in low socio economic society.

Method: Our study is pilot clinical trial done in Hadhramout government in Yemen to detect the percentage of infection post Cesarean section after use of prophylactic dose of 2 gram of cefatriaxone as single dose pre operatively and relation of base line criteria and surgical character in this regimen of prophylaxis.

Results: One hundred women were involved in the study and received the prophylactic dose of cefatriaxone pre operatively half an hour to one hour before Cesarean section and base line characteristties involving, âge, BMI, parity, number of previous Cesarean sections, indication for Cesarean section, duration of surgery, type of anesthesia, détails infection if occurred post Cesarean section, maternai side effect, and any neonatal complication, The percentage of infection after prophylactic dose was 4% and the risk factor was: increased BMI and repeat Cesarean section in 50% of cases without any maternai or neonatal side effects.

Conclusion: