Cefepim in prophylaxis of infectional complications in cesarean section in risk groups

Abstract

The efficiency and economical value of infectional surgical complications prophylaxis is considered. The risk factors included diabetes, obesity, pyelonephritis and complicated obstetrical anamnesis. The randomized trial has shown a high effectiveness of Cefepim usage administered intravenously 1.0 during CS and 8 hours later. As a standard we used Cefotaxime (2,0 gr. per day), ampicillin (4,0 qid) and gentamyein (0,24 tid). We estimated the surgical wound condition, body temperature, vaginal discharge. The effectiveness of Cefepim has made 98%. The normalization of parameters was seen up to 4-5 postoperative days.