KHẢO SÁT TUÂN THỦ SỬ DỤNG KHÁNG SINH DỰ PHÒNG TRONG MỔ LẤY THAI TẠI KHOA SẢN BỆNH VIỆN ĐA KHOA THANH VŨ MEDIC BẠC LIÊU NĂM 2023

Abstract

  Background: Surgical site infection is one of the most common postoperative complications, particularly following cesarean section — a procedure with an increasingly high rate worldwide. Numerous studies have demonstrated that the appropriate and rational use of prophylactic antibiotics can reduce the risk of surgical site infection by 60–70%, decrease antimicrobial resistance rates, and help lower healthcare costs as well as shorten hospital stays for patients. Objectives: To evaluate the adherence to prophylactic antibiotic use in cesarean section and to identify factors associated with adherence. Materials and methods: A cross-sectional descriptive study was conducted on 384 medical records of women who underwent cesarean sections from January 1 to July 31, 2023 at the Obstetrics Department of Thanh Vu Medic Bac Lieu General Hospital. Data were collected and analyzed using SPSS version 26.0. Results: Cefazolin was the most commonly used antibiotic (99.74%). The overall compliance rate was 65.89%. Factors associated with non-compliance included age, number of cesarean sections, number of abnormal indications, premature rupture of membranes, and duration of surgery (p < 0.05). Conclusions: Although surgical antibiotic prophylaxis was universally administered, several issues remained, particularly prolonged use beyond 24 hours postoperatively. Strengthening antibiotic stewardship and monitoring within the Department of Obstetrics and other clinical departments is essential to optimize prophylactic effectiveness, minimize waste, and reduce antimicrobial resistance.