الفهرس | Only 14 pages are availabe for public view |
Abstract Summary and conclusions • Caesarean section is probably the most common surgical procedure carried out in the field of obstetrics. • Infectious morbidity is its common complication with reported rates of 18-83%. Prophylactic antibiotics have been shown to be highly effective in reducing the infective morbidity of caesarean section. • The aim of this work was to show that short antibiotic prophylaxis is as effective as prolonged antibiotic regimen. • This study included 200 pregnant ladies under went elective caesarean section. They were divided into two major groups • Group 1 short antibiotic prophylaxis group. • Group 2 prolonged antibiotic therapy group. • Infectious morbidity was measured in terms of post operative fever, endometritis, wound infection, chest infection and urinary tract infection. • There was no significant difference between short and long antibiotic regarding postoperative fever, endometritis, UTI ,wound infection and chest infection . • As it is cost effective and most of our patients in Egypt come from low socioeconomic class, so this short antibiotic prophylaxis should be recommended routinely for all elective caesarean section except in few cases in which risk of post operative infectious morbidity is high where prolonged antibiotic therapy may be given . |