The use of antibiotics in cesarean section patients at Green International Hospital in 2023

Abstract

Objective: To describe the antibiotic usage patterns in patients undergoing cesarean section at Green International Hospital in 2023. Methods: A cross-sectional descriptive study was conducted through a retrospective review of 491 medical records of patients who underwent cesarean section from July 1, 2023, to September 30, 2023, patients aged 18 years and older, who were prescribed antibiotics during their hospitalization at Green International Hospital, were included. Results: The majority of patients were aged 18-34 (81.5%). Most patients had singleton pregnancies (97.8%), with 24.4% delivering their first child and 44.4% delivering their second. A significant proportion of patients had a history of cesarean sections (66%). None of the patients received antibiotics within 0-60 minutes before skin incision. However, 100% of patients received antibiotics intraoperatively (after cord clamping), within 24 hours postoperatively, and beyond 24 hours postoperatively. The total duration of antibiotic administration was 5 days in 92.3% of the patients. The most commonly used antibiotic regimen during surgery (after cord clamping) was Ampicillin/Sulbactam (99.4%), and 99.4% of patients received monotherapy antibiotics for more than 24 hours postoperatively. Conclusion: None of the patients received preoperative antibiotics. All patients received antibiotics after cord clamping, within 24 hours postoperatively, and beyond 24 hours. The most frequently used antibiotic was Ampicillin/Sulbactam. All patients continued receiving antibiotics until discharge.