THE EXPEDIENCY OF ANTIBIOTIC PROHYLAXIS DURING CEASAREAN SECTION IN PREGNANT WOMEN AT LOW RISK FOR INFECTION


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Abstract

Objective. To analyze the pattern and frequency of pyoinflammatory complications in puerperas at low risk of infections after cesarean section according to whether or not antibiotic prophylaxis is performed. Subjects and methods. 3549 history records were retrospectively studied in women who had delivered by cesarean section at the Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology over 3 years from 2008 to 2010 inclusive. The authors selected a total of 170 cases, including 85 puerperas who had received antibiotic prophylaxis for cesarean section (Group 1 (a study group) and 85 pregnant women who had single-dose perioperative antibiotic prophylaxis with inhibitor-dependent penicillins (Group 2, a comparison group). Results. It is reasonable to refuse antibiotic prophylaxis in women at low risk for infectious complications after cesarean section if the risk of infection is correctly estimated, local infection is timely sanitized, the duration of surgery is reduced to 30 minutes, and the aseptic and antiseptic rules are observed.

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About the authors

A. A BALUSHKINA

Acad. V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: a_balushkina@oparina4.ru

V. L TYUTYUNNIK

Acad. V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: tioutiounnik@mail.ru

E. M SHIFMAN

Peoples' Friendship University of Russia

Email: eshifman@mail.ru

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