TIMING OF PROPHYLACTIC ANTIBIOTIC ADMINISTRATION IN TERM CESAREAN SECTION: A RANDOMIZED CLINICAL TRIAL

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ALMASSI NOKIANI F.; AKBARI HOSSEIN; REZAEI MANSOUR

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Journal Paper

Paper Information

Journal: IRANIAN JOURNAL OF CLINICAL INFECTIOUS DISEASES Year:2009 | Volume:4 | Issue:2 Page(s): 71-76

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Information Journal Paper

Title

TIMING OF PROPHYLACTIC ANTIBIOTIC ADMINISTRATION IN TERM CESAREAN SECTION: A RANDOMIZED CLINICAL TRIAL

Author(s)

ALMASSI NOKIANI F. | AKBARI HOSSEIN | REZAEI MANSOUR | Issue Writer Certificate

Keywords

PROPHYLACTIC ANTIBIOTIC

CESAREAN SECTION

MATERNAL INFECTION

NEONATAL INFECTION

CEFAZOLIN

Abstract

Background: Antibiotic prophylaxis would benefit all CESAREAN SECTION patients and may decrease morbidity and length of hospital stay. The present study was conducted to determine whether the administration of CEFAZOLIN prior to skin incision was superior to administration at the time of umbilical cord clamping for prevention of post-cesarean maternalneonatal infections morbidity.Patients and methods: This was a randomized, double-blinded clinical trial. During the study period, 287 CESAREAN SECTIONs for singleton term pregnancies with intact membranes or passed less than 18 hours from rupture of membrane were entered. A total of 196 patients received 2gr CEFAZOLIN before incision and 91 patients received 2gr CEFAZOLIN after cord clamping. The occurrence of surgical site opening, total infectious morbidity and neonatal complications were compared between these groups.Results: Two groups were demographically identical. Rate of IV line need (RR=1.87, 95%CI:0.21-17.02), neonatal sepsis (RR=1.39, 95%CI:0.14-13.64) and NICU admission (RR=0.19, 95%CI: 0.21-17.02) were not significantly differed between groups.Conclusion: We suggest the standard CEFAZOLIN prophylaxis (after cord clamping) for elective CESAREAN SECTION and CEFAZOLIN before incision for non elective CESAREAN SECTION. Therefore, administration of prophylactic CEFAZOLIN prior to incision will not increase the rate of neonatal sepsis.

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APA: Copy

AKBARI, HOSSEIN, REZAEI, MANSOUR, & ALMASSI NOKIANI, F.. (2009). TIMING OF PROPHYLACTIC ANTIBIOTIC ADMINISTRATION IN TERM CESAREAN SECTION: A RANDOMIZED CLINICAL TRIAL. IRANIAN JOURNAL OF CLINICAL INFECTIOUS DISEASES, 4(2), 71-76. SID. https://sid.ir/paper/313538/en

Vancouver: Copy

AKBARI HOSSEIN, REZAEI MANSOUR, ALMASSI NOKIANI F.. TIMING OF PROPHYLACTIC ANTIBIOTIC ADMINISTRATION IN TERM CESAREAN SECTION: A RANDOMIZED CLINICAL TRIAL. IRANIAN JOURNAL OF CLINICAL INFECTIOUS DISEASES[Internet]. 2009;4(2):71-76. Available from: https://sid.ir/paper/313538/en

IEEE: Copy

HOSSEIN AKBARI, MANSOUR REZAEI, and F. ALMASSI NOKIANI, “TIMING OF PROPHYLACTIC ANTIBIOTIC ADMINISTRATION IN TERM CESAREAN SECTION: A RANDOMIZED CLINICAL TRIAL,” IRANIAN JOURNAL OF CLINICAL INFECTIOUS DISEASES, vol. 4, no. 2, pp. 71–76, 2009, [Online]. Available: https://sid.ir/paper/313538/en

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