Antibiotic Use in Caesarean Section among Obstetricians and Gynaecologists in the Second Largest City in Indonesia

  • Muhammad Ilham Aldika Akbar Departement Obstetrics & Gynecology Faculty of Medicine Universitas Airlangga, Universitas Airlangga Hospital, Surabaya, Indonesia
  • Renata Alya Ulhaq Departement Obstetrics & Gynecology Faculty of Medicine Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, Indonesia
  • Indra Yuliati Departement Obstetrics & Gynecology Faculty of Medicine Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, Indonesia
  • Muhammad Yusuf Departement Obstetrics & Gynecology Faculty of Medicine Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, Indonesia
  • Budi Prasetyo Departement Obstetrics & Gynecology Faculty of Medicine Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, Indonesia
  • Brahmana Askandar Tjokroprawiro Departement Obstetrics & Gynecology Faculty of Medicine Universitas Airlangga, Dr. Soetomo General Hospital, Surabaya, Indonesia

Abstract

Objective : Caesarean section (CS) is the most frequently performed surgery in obstetrics and gynecology, and the trend is increasing annually. Prophylactic antibiotics are highly recommended for use with CS. However, there is a large variety of antibiotics used in the field. This study aimed to evaluate the pattern of antibiotic use in CS by obstetricians in Surabaya, Indonesia.

Methods : The research data were obtained from online interviews using electronic forms. The primary outcome of this study was the pattern of antibiotic use, including prophylactic use, selection of antibiotics, the timing of administration, additional antibiotics during and after surgery, and consideration of choices.

Results : The majority of antibiotics used in CS are in line with the guidelines. The types of prophylactic antibiotics (iv) used are varied, the majority were cefazoline (74.5%), ceftriaxone (14.5%), and Cefotaxime (11.6%). Most antibiotics were administered <30 minutes before surgery. 2.5% of obstetricians routinely added antibiotics during a cesarean, while 33% were based on a particular condition such as prolonged surgery, massive bleeding, or risk of infections. The selection of antibiotics by obstetricians was based on protocols followed in the hospital (44.5%).

Conclusion : This study demonstrates that the majority of obstetricians utilized antibiotic prophylaxis appropriately and followed guidelines for SC surgery.

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Published
2023-04-30
Section
Research Article