Post cesarean section urinary tract infections, risk factors and prophylactic antibiotic treatment

Two hundred and seventy eight women undergoing Cesarean section were evaluated retrospectively to determine the value of prophylactic antibiotic treatment on post-operative urinary tract infection morbidity. One hundred eight women who received no prophylactic treatment, and ninety eight treated prophylactically with ampicillin and colistin (colliracin). The effect of various obstetrics parameters including parity, previous Cesarean section, duration of labor and maternal anemia on the rate of infection was studied. Significant difference in the rate of infection after the introduction of prophylactic treatment was found. Morbidity rate was reduced to 6.1% in patients treated with ampicillin and collistin compared to 16.1% in the control group (P less than 0.001). The risk group for developing urinary tract infection were those who stayed more than two hours in the delivery room or with hemoglobin blood level less than 12 gr/D.L.