The Impact of Cefepime and Ampicillin/Sulbactam on Preventing Post-Cesarean Surgical Site Infections, Randomized Controlled Trail
Over the previous three decades, the rate of caesarean sections performed worldwide has grown exponentially. In comparison to a vaginal birth, the risk of all postpartum infections is higher with a cesarean section. One of the key factors contributing to maternal morbidity is the development of infe...
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| Format: | Article |
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MDPI AG
2023-11-01
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| Series: | Antibiotics |
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| Online Access: | https://www.mdpi.com/2079-6382/12/12/1666 |
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| author | Mona A. Abdelrahman Asmaa Zaki Sara A. M. Salem Heba F. Salem Ahmed R. N. Ibrahim Ahmed Hassan Marwa O. Elgendy |
| author_facet | Mona A. Abdelrahman Asmaa Zaki Sara A. M. Salem Heba F. Salem Ahmed R. N. Ibrahim Ahmed Hassan Marwa O. Elgendy |
| author_sort | Mona A. Abdelrahman |
| collection | DOAJ |
| description | Over the previous three decades, the rate of caesarean sections performed worldwide has grown exponentially. In comparison to a vaginal birth, the risk of all postpartum infections is higher with a cesarean section. One of the key factors contributing to maternal morbidity is the development of infectious complications in the surgical site after a caesarean section. The primary goal of the research was to compare the efficiency of using ampicillin/sulbactam (AMS) and cefepime (CEF) to reduce the incidence of surgical site infections (SSI) following caesarean delivery. This prospective randomized study was conducted among 200 pregnant women scheduled for elective cesarean section. They were collected from the Obstetrics and Gynecology department of Beni-Suef University Hospital, and then they were randomly assigned into two groups. Group (A) received cefepime 30 min before and 12 h after cesarean delivery, while group (B) received ampicillin/sulbactam 30 min before and 12 h after cesarean delivery. The groups were matched regarding the baseline women characteristics. Comparing the cefepime to the ampicillin/sulbactam revealed that the cefepime significantly decreased superficial SSI from 27% to 14% (0.023). A significant decrease was observed in deep SSI with cefepime compared to ampicillin/sulbactam from 24% to 13% (<i>p</i>-value 0.045). Interestingly, when the cefepime was compared to the ampicillin/sulbactam, we noted that the incidence of endometritis significantly decreased from 13% to 5% (<i>p</i> = 0.048). A noted decrease in post-operative fever in cefepime as compared to ampicillin/sulbactam from 18% to 13% (<i>p</i>-value = 0.329). Receiving prophylactic cefepime pre- and post-cesarean delivery significantly decreases post-operative wound infection and endometritis. |
| first_indexed | 2024-03-08T21:03:23Z |
| format | Article |
| id | doaj.art-44b7f85742fc4a5ea2af341261e5770a |
| institution | Directory Open Access Journal |
| issn | 2079-6382 |
| language | English |
| last_indexed | 2024-03-08T21:03:23Z |
| publishDate | 2023-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj.art-44b7f85742fc4a5ea2af341261e5770a2023-12-22T13:47:49ZengMDPI AGAntibiotics2079-63822023-11-011212166610.3390/antibiotics12121666The Impact of Cefepime and Ampicillin/Sulbactam on Preventing Post-Cesarean Surgical Site Infections, Randomized Controlled TrailMona A. Abdelrahman0Asmaa Zaki1Sara A. M. Salem2Heba F. Salem3Ahmed R. N. Ibrahim4Ahmed Hassan5Marwa O. Elgendy6Department of Clinical Pharmacy, Faculty of Pharmacy, Beni-Suef University, Beni-Suef 62511, EgyptDepartment of Clinical Pharmacy, Faculty of Pharmacy, Nahda University (NUB), Beni-Suef 62764, EgyptDepartment of Obstetrics and Gynecology, Faculty of Medicine, Beni-Suef University, Beni-Suef 62521, EgyptDepartment of Pharmaceutics & Industrial Pharmacy, Faculty of Pharmacy, Beni-Suef University, Beni-Suef 62511, EgyptDepartment of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha 61421, Saudi ArabiaDepartment of Clinical Pharmacy, Faculty of Pharmacy, University of Sadat City, Sadat City 32897, EgyptDepartment of Clinical Pharmacy, Faculty of Pharmacy, Nahda University (NUB), Beni-Suef 62764, EgyptOver the previous three decades, the rate of caesarean sections performed worldwide has grown exponentially. In comparison to a vaginal birth, the risk of all postpartum infections is higher with a cesarean section. One of the key factors contributing to maternal morbidity is the development of infectious complications in the surgical site after a caesarean section. The primary goal of the research was to compare the efficiency of using ampicillin/sulbactam (AMS) and cefepime (CEF) to reduce the incidence of surgical site infections (SSI) following caesarean delivery. This prospective randomized study was conducted among 200 pregnant women scheduled for elective cesarean section. They were collected from the Obstetrics and Gynecology department of Beni-Suef University Hospital, and then they were randomly assigned into two groups. Group (A) received cefepime 30 min before and 12 h after cesarean delivery, while group (B) received ampicillin/sulbactam 30 min before and 12 h after cesarean delivery. The groups were matched regarding the baseline women characteristics. Comparing the cefepime to the ampicillin/sulbactam revealed that the cefepime significantly decreased superficial SSI from 27% to 14% (0.023). A significant decrease was observed in deep SSI with cefepime compared to ampicillin/sulbactam from 24% to 13% (<i>p</i>-value 0.045). Interestingly, when the cefepime was compared to the ampicillin/sulbactam, we noted that the incidence of endometritis significantly decreased from 13% to 5% (<i>p</i> = 0.048). A noted decrease in post-operative fever in cefepime as compared to ampicillin/sulbactam from 18% to 13% (<i>p</i>-value = 0.329). Receiving prophylactic cefepime pre- and post-cesarean delivery significantly decreases post-operative wound infection and endometritis.https://www.mdpi.com/2079-6382/12/12/1666surgical site infectioncesareancefepimeUnictam |
| spellingShingle | Mona A. Abdelrahman Asmaa Zaki Sara A. M. Salem Heba F. Salem Ahmed R. N. Ibrahim Ahmed Hassan Marwa O. Elgendy The Impact of Cefepime and Ampicillin/Sulbactam on Preventing Post-Cesarean Surgical Site Infections, Randomized Controlled Trail Antibiotics surgical site infection cesarean cefepime Unictam |
| title | The Impact of Cefepime and Ampicillin/Sulbactam on Preventing Post-Cesarean Surgical Site Infections, Randomized Controlled Trail |
| title_full | The Impact of Cefepime and Ampicillin/Sulbactam on Preventing Post-Cesarean Surgical Site Infections, Randomized Controlled Trail |
| title_fullStr | The Impact of Cefepime and Ampicillin/Sulbactam on Preventing Post-Cesarean Surgical Site Infections, Randomized Controlled Trail |
| title_full_unstemmed | The Impact of Cefepime and Ampicillin/Sulbactam on Preventing Post-Cesarean Surgical Site Infections, Randomized Controlled Trail |
| title_short | The Impact of Cefepime and Ampicillin/Sulbactam on Preventing Post-Cesarean Surgical Site Infections, Randomized Controlled Trail |
| title_sort | impact of cefepime and ampicillin sulbactam on preventing post cesarean surgical site infections randomized controlled trail |
| topic | surgical site infection cesarean cefepime Unictam |
| url | https://www.mdpi.com/2079-6382/12/12/1666 |
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