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Revista Médica del Uruguay

On-line version ISSN 1688-0390

Abstract

SPERANZA, Noelia et al. Profilaxis antibiótica en la cesárea. </b Centro Hospitalario Pereira Rossell (CHPR): necesidad de protocolización. Rev. Méd. Urug. [online]. 2003, vol.19, n.1, pp.66-70. ISSN 1688-0390.

Summary Objective: to undertake a situational diagnosis of prophylactic use of antibiotics in cesareans at the Centro Hospitalario Pereira Rossell (CHPR). Methods: we analyzed the characteristics of prophylaxis antibiotic therapy in hospitalized patients who underwent cesarean in the CHPR from November to December 2001. Results: one patient of a total of 140 did not receive chemoprophylaxis. Indicated antibiotics were cephazoline 57.5%, ampiciline-sulbactam 33.1% and cephradine 9.4%. Prophylaxis started after surgery in 55.4% cases (mean 5 hours), before surgery in 23.7% and during surgery in 20.9%. Antibiotic therapy lasted 2 days (mean, range 0-11). There were no differences between patients on urgent surgery and coordinated surgery in relation to antibiotic characteristics. Conclusions: problems related to antibiotic choice, administration time and prophylaxis duration were identified in cesareans. A protocolization by means of intravenous single-dose cephazoline is suggested. Future studies to assess its application should be done.

Keywords : CESAREA; PROFILAXIS ANTIBIOTICA; URUGUAY.

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