Đặc điểm sử dụng kháng sinh trên bệnh nhân mổ lấy thai tại Khoa Sản, Trung tâm Y tế huyện Tân Sơn

Abstract

Objective: To describe the characteristics of antibiotic use in patients undergoing cesarean section at the Obstetrics Department - Tan Son District Health Center. Subject and method: A retrospective study was conducted on 164 medical records of patients with indications for cesarean section with discharge dates from January 1, 2021, to June 30, 2021 and interviews with seven surgeons in the Obstetrics Department. Result: 85.4% of patients were 18-35 years old; 34.1% had indications for surgery due to previous cesarean section scars. 4.3% of patients had a high risk of surgical site infections, and the early prelabor rupture of membranes (PROM) was the most common (17.7%). The most prescribed antibiotic was ampicillin + sulbactam (90.24%). 100% of patients received antibiotics intravenously at the standard dosage. 63.4% of patients used antibiotics within 1 to 2 hours after surgery, and 100% continued antibiotic use for 5-7 days after surgery. 1.2% of patients had surgical site infections. No patient met all the criteria for antibiotic use according to ASHP recommendations. Conclusion: The main barriers to implementing antibiotic prophylaxis were the physicians' concerns about the lack of standardized procedures and the inefficacy of prophylactic antibiotics in bacterial eradication. In conclusion, most criteria for antibiotic use were not met, and the lack of trust in the efficacy of prophylactic antibiotics was the biggest barrier to implementing antibiotic prophylaxis.