ANALYSING THE ANTIBIOTIC USE IN INFECTION CONTROL FOR CESAREAN SECTION OF POSTPARTUM SURGICAL SITE AT HUNG VUONG HOSPITAL - VIETNAM FROM 03/2015 TO 09/2015

Abstract

The study was conducted at Hung Vuong Hospital in the south of Vietnam to describe the practice of prophylactic antibiotic for women undergoing cesarean section. In this cross-sectional study, 977 women undergoing cesarean deliveries and received multipledose antimicrobial prophylaxis during their hospitalization between 03/2015 and 09/2015 were recruited at Hung Vuong Hospital in Ho Chi Minh City. Three types of antibiotics were administered for infection control, including Beta-lactam combined with Beta-lactamase inhibitor, Cefazolin and Clindamycin. 72% of women received BetalactamBetalactamase inhibitor combinations. All women in the study were given 2 doses of these antibiotics on the day of their surgery to reduce the risk of postpartum infection, while 80% of them received extra doses of these antibiotics. Among them, only 80 women used more than 2 doses of antibiotics to treat the surgical site infections, whereas the rest received extra doses of antibiotics to prolong their effects. The median value of antibiotic cost was 413,100 VND (min: 38,400 VNDmax: 12,600,900 VND). The study indicated that 50% of women received different types of antibiotics or dosages, compared to the Antibiotic Prophylaxis Regimens and Drugs for cesarean section at Hung Vuong Hospital. This result provided a general assessment of the antimicrobial prophylaxis use for cesarean section at Hung Vuong Hospital. This information will be valuable for better evaluation and management in order to have the antibiotic usage more pertinent.