TÌNH HÌNH SỬ DỤNG KHÁNG SINH DỰ PHÒNG TRÊN BỆNH NHÂN PHẪU THUẬT MỔ LẤY THAI TẠI MỘT BỆNH VIỆN TỈNH SÓC TRĂNG NĂM 2022

Abstract

Background: Many recent studies have shown that the rational use of prophylactic antibiotics reduces the mortality rate, reduces the rate of antibiotic resistance and saves costs for patients. Objectives: To analyse the situations of using antibiotics in cesarean section patients at a hospital in Soc Trang province in 2022. Materials and methods: A cross-sectional descriptive study with 345 caesarean section patients was randomly selected from July 1, 2022 to September 30, 2022. Analysis of the characteristics of prophylactic antibiotic use and factors related to the using of rational prophylactic antibiotics. Results: The old incision was the most common reason indicated for cesarean section (47%), the rate of surgical site infection was low (1.2%). All medical records have used prophylactic antibiotics (100%). The most commonly used antibiotic was Amoxicillin and clavulanic acid (89%). The rate of medical records with inappropriate selection of prophylactic antibiotics was (10.4%), dose of antibiotic unreasonable was (11%). Patients <18 years old may have a lower rate of reasonable antibiotic selection and reasonable antibiotic dose than other groups of patients (OR < 1 and p < 0.05).  Conclusions: Amoxicillin + clavulanic acid was the most commonly used antibiotic in the study. The cause of the inappropriate use of antibiotics may be due to the choice of antibiotics and the inappropriate dose of antibiotics. Patients < 18 years old may be risk factors for reducing the rate of rational antibiotic prophylaxis in hospital cesarean section.