Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Urinary tract infection wikipedia , lookup
Hygiene hypothesis wikipedia , lookup
Traveler's diarrhea wikipedia , lookup
Clostridium difficile infection wikipedia , lookup
Carbapenem-resistant enterobacteriaceae wikipedia , lookup
Neonatal infection wikipedia , lookup
WOMEN AND NEWBORN HEALTH SERVICE King Edward Memorial Hospital CLINICAL GUIDELINES Obstetric and Gynaecology ANTIMICROBIAL STEWARDSHIP ANTIBIOTIC PROPHYLAXIS FOR CAESAREAN SECTION ANTIBIOTIC PROPHYLAXIS FOR CAESAREAN SECTION Evidence supports administration of antibiotic prophylaxis prior to skin incision for Caesarean section (both elective and non-elective) for prevention of wound infection and endometritis.1 Studies show that administering prophylaxis prior to skin incision compared to after cord clamping significantly reduces the incidence of infection without compromising neonatal outcome.2 INDICATIONS All patients giving birth by Caesarean section. Surgical prophylaxis should still be administered even if the patient is receiving antibiotics for prolonged rupture of the membrane.3 ANTIBIOTIC REGIMEN Cephazolin 2g IV given as an infusion, before skin incision. For patients with immediate penicillin hypersensitivity use Clindamycin 900mg IV (as a single dose), before skin incision (must be given as infusion over 30 minutes REFERENCES ( STANDARDS) 1. Therapeutic Guidelines Limited. Prophylaxis: obstetric and gynaecological surgery. 2014 [cited; Version 14:[Available from: http://online.tg.org.au.pklibresources.health.wa.gov.au/ip/desktop/index.htm] 2. Costantine MM, Rahman M, Ghulmiyah L, Byers BD, Longo M, Wen T, et al. Timing of perioperative antibiotics for caesarean delivery: a meta-analysis. Am J Obstet Gynecol 2008;199(3):301 e1-6. 3. RANZCOG Prophylactic antibiotics in Obstetrics and Gynaecology. Nov 2011. DPMS Ref: 5485 All guidelines should be read in conjunction with the Disclaimer at the beginning of this manual Page 1 of 2 National Standards – 3 Preventing and Controlling Healthcare Associated Infections 4- Medication Safety Legislation - Nil Related Policies – WNHS Policy W093 ANTIMICROBIAL STEWARDSHIP AT KING EDWARD MEMORIAL HOSPITAL (KEMH) Other related documents – Nil RESPONSIBILITY Policy Sponsor AMS Initial Endorsement October 2001 Last Reviewed September 2014 Last Amended December 2015 Review date September 2017 Do not keep printed versions of guidelines as currency of information cannot be guaranteed. Access the current version from the WNHS website. Antibiotic prophylaxis for caesarean section Clinical Guidelines - Section P DPMS Ref: 5485 King Edward Memorial Hospital for Women Perth Western Australia All guidelines should be read in conjunction with the Disclaimer at the beginning of this manual Page 2 of 2