Ibrahima Koussy Bah*,Alhassane II Sow,Boubacar Alpha Diallo,Julien Tamba Tolno,Laouratou Diallo,Maimouna Balde,Alpha Ibrahima Balde,Kabinet Camara,Abdourahamane Diallo,Telly Sy
Issue:
Volume 13, Issue 2, April 2025
Pages:
17-21
Received:
12 February 2025
Accepted:
24 February 2025
Published:
6 March 2025
DOI:
10.11648/j.jgo.20251302.11
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Views:
Abstract: Objective: To evaluate the effectiveness of antibiotic prophylaxis during cesarean section in the Gynecology-Obstetrics department of the Donka national hospital in Conakry. Methodology: This was a prospective case-control analytical study lasting 3 months involving 250 patients undergoing cesarean section. The short protocol included 125 patients who received a single dose of 2g of antibiotics intraoperatively after cord clamping while the other 125 patients (long protocol) received antibiotic therapy for 48 hours after the procedure. Results: The sociodemographic profile of the patients was the same in both arms. The mean age of the patients was 24 years with extremes of 14 and 42 years; the 20-24 age group was the most represented (31.2% vs 32.8%). Our series was dominated by primiparas (40% vs 42%). The main mode of admission was evacuation (78.4% vs 64%). The main early postoperative complication encountered was fever (8.2% vs 13.2%) followed by surgical site infection (4% vs 12%). Bivariate analysis shows a statistically significant association between the occurrence of postoperative fever and the long antibiotic protocol (p = 0.028) and this protocol is a protective factor against surgical site infection (p = 0.013). And is more frequently used in the context of emergency cesarean section (p = 0.011). Conclusion: Antibiotic prophylaxis is as effective as antibiotic therapy and thus represents a significant health saving for our countries.
Abstract: Objective: To evaluate the effectiveness of antibiotic prophylaxis during cesarean section in the Gynecology-Obstetrics department of the Donka national hospital in Conakry. Methodology: This was a prospective case-control analytical study lasting 3 months involving 250 patients undergoing cesarean section. The short protocol included 125 patients ...Show More