Effect of clindamycin vaginal pessary before cesarean section on postpartum infectious morbidity
Salem, M., Soliman, A., Ammar, I. (2022). Effect of clindamycin vaginal pessary before cesarean section on postpartum infectious morbidity. EKB Journal Management System, 3(2), 449-456. doi: 10.21608/mid.2022.110068.1215
Mostafa Abdo Ahmed Salem; Al-Zahraa Mohammad Soliman; Islam Mohamed Magdi Ammar. "Effect of clindamycin vaginal pessary before cesarean section on postpartum infectious morbidity". EKB Journal Management System, 3, 2, 2022, 449-456. doi: 10.21608/mid.2022.110068.1215
Salem, M., Soliman, A., Ammar, I. (2022). 'Effect of clindamycin vaginal pessary before cesarean section on postpartum infectious morbidity', EKB Journal Management System, 3(2), pp. 449-456. doi: 10.21608/mid.2022.110068.1215
Salem, M., Soliman, A., Ammar, I. Effect of clindamycin vaginal pessary before cesarean section on postpartum infectious morbidity. EKB Journal Management System, 2022; 3(2): 449-456. doi: 10.21608/mid.2022.110068.1215

Effect of clindamycin vaginal pessary before cesarean section on postpartum infectious morbidity

Microbes and Infectious Diseases
Article 25, Volume 3, Issue 2, May 2022, Page 449-456  XML PDF (350.18 K)
Document Type: Original Article
DOI: 10.21608/mid.2022.110068.1215
Authors
Mostafa Abdo Ahmed Salem email 1; Al-Zahraa Mohammad Soliman2; Islam Mohamed Magdi Ammar3
1Obstetrics and Gynecoogy, Faculty of medecine, zagazig university
2Department of Community Medicine and Public health, Faculty of medicine, Zagazig University
3Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University
Abstract
Background: Post-cesarean section (CS) infections, namely, endometritis, fever and wound infection are considered a major health problem which necessitates effective interventions. Antibiotic prophylaxis before CS cannot completely eliminate the risk of postpartum infections. Preoperative antiseptic vaginal cleansing is one of the commonest methodsto reduce infectious morbidities after CS. Aim of the work: The aim of this work is to evaluate the effect of prophylactic administration of clindamycin vaginal suppository before elective CS on postpartum infectious morbidity. Methods: 196 patients were included in this intervention. They were divided equally into two groups (each 98 patients); intervention group (which received clindamycin 100 mg vaginal suppository at bedtime for 3 nights before CS) and control group (which received nothing). Both groups were followed till the end of puerperium for the development of postpartum infections namely, endometritis, fever, and wound infection. Results: There was statistically significant decrease in the frequency of endometritis, fever, and wound infection in the intervention group when compared to control group. Also, there was highly statistically significant decrease in the frequency of overall post-CS infectious morbidity in the intervention group when compared to control group. There was statistically significant difference between both groups as regard white blood cells count and C-reactive protein level 24 hours after cesarean section. Conclusion: Prophylactic administration of clindamycin vaginal suppository before elective CS reduces the risk of postpartum infections namely endometritis, fever, wound infection and overall post-CS infectious morbidity. Preoperative clindamycin vaginal suppository could be  protective against post-CS infectious morbidities.
Keywords
endometritis; cesarean section; postpartum infectious morbidity; clindamycin
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