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Prophylactic antibiotic prescription for cesarean section
Tippawan Liabsuetrakul1, Pisake Lumbiganon, Virasakdi Chongsuvivatwong
1Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand. ltippawa@ratree.psu.ac.th
Summary
Prophylactic antibiotics were used in 82% of cesarean sections, but single-dose prescriptions were uncommon. Doctors aged 30-39 years were more likely to prescribe intraoperative antibiotics.
Area of Science:
- Obstetrics and Gynecology
- Infectious Disease Prevention
- Surgical Prophylaxis
Background:
- Cesarean section is a common surgical procedure.
- Surgical site infections remain a significant concern following cesarean sections.
- Prophylactic antibiotic use is a key strategy to reduce infection risk.
Purpose of the Study:
- To evaluate the current use of prophylactic antibiotics during cesarean sections.
- To identify patient and physician factors influencing intraoperative antibiotic prescribing decisions.
Main Methods:
- A cross-sectional study analyzing 967 cesarean section medical records from a university hospital.
- Multivariate logistic regression with random effects was employed.
- Independent variables included patient characteristics and physician factors.
Main Results:
- Prophylactic antibiotics were administered in 82% of cases.
- Single-dose intraoperative antibiotic prescriptions were infrequent (8%).
- Factors associated with intraoperative antibiotic use included prolonged rupture of membranes, increased vaginal examinations, and physician age (30-39 years).
Conclusions:
- Single-dose prophylactic antibiotic regimens for cesarean sections are underutilized.
- Antibiotic prophylaxis is more frequently administered to high-risk patients.
- Physician age is a significant factor in intraoperative antibiotic prescribing patterns.