Antibiotics After C Section
As the evidence suggests that single dose regimens are as effective as multiple dose regimens the gdg favoured single dose antibiotic regimens which can easily be given prior to during caesarean section rather than multiple dose regimens which sometimes extend to the postoperative period.
Antibiotics after c section. It s usually due to a bacterial infection in the. Pregnant women get antibiotics to fight group b strep bacteria and to prevent infection after a c section and newborns get dosed to prevent a rare eye infection caused by a mother s gonorrhea. The specific type of antibiotic depends on the type of bacteria responsible for the infection.
In patients with known mrsa colonization undergoing cesarean consideration may be given to adding a single dose of vancomycin to the recommended antibiotic prophylaxis regimen. Antibiotics for cesarean 1st generation cephalosporin is first line for all patients undergoing cs 60 mins prior to incision 1 g for patients 80 kg 2 g for patients 80 kg 3 g considered for patients 120 kg azithromycin for non elective cs mrsa add vancomycin to preop abx iai give one dose after cs. The addition of azithromycin to standard regimens for antibiotic prophylaxis before cesarean delivery may further reduce the rate of postoperative infection.
Doctors treat most post cesarean wound infections at least in part with antibiotics. Patients received placebo or oral metronidazole 500 mg with cephalexin 500 mg every 8 hours for 48 hours with the first dose 8 hours after receiving iv cefazolin. This was so whether the cesarean section was planned elective or not and whether the antibiotics were given before or after clamping of the umbilical cord.
A post cesarean wound infection is an infection that occurs after a c section which is also referred to as an abdominal or cesarean delivery. Routine mrsa screening is not recommended. Warshak m d of the university of cincinnati and colleagues randomly assigned obese women prepregnancy bmi 30 or greater who had received standard intravenous preoperative cephalosporin an antibiotic to receive oral cephalexin 500 mg and metronidazole 500 mg n 202 vs identical appearing placebo n 201 every 8 hours for a total of 48 hours following cesarean delivery.
Vancomycin alone is not sufficient coverage for cesarean.