Thực trạng sử dụng kháng sinh trên bệnh nhân mổ lấy thai tại Bệnh viện Quốc tế Green năm 2023=The use of antibiotics in cesarean section patients at Green International Hospital in 2023

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Tác giả: Thanh Hoa Dương, Quang Tuấn Hà, Thị Như Quỳnh Hoàng, Thị Thùy Hoàng, Thị Huyền Trang Lê, Thị Thùy Linh Lê, Thị Giáng Ngọc Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Sức khỏe, 2024

Mô tả vật lý: tr.37

Bộ sưu tập: Metadata

ID: 242754

Thêm vào giỏ

Mục tiêu nghiên cứu: Mô tả thực trạng sử dụng kháng sinh trên bệnh nhân mổ lấy thai tại Bệnh viện Quốc tế Green năm 2023. Phương pháp nghiên cứu: Mô tả cắt ngang qua hồi cứu dữ liệu 491 bệnh án của bệnh nhân có chỉ định phẫu thuật mổ lấy thai từ ngày 01/07/2023 đến 30/09/2023, ≥ 18 tuổi, có chỉ định sử dụng kháng sinh trong thời gian nằm viện tại Bệnh viện Quốc Tế Green. Kết quả: Phần lớn bệnh nhân nằm trong độ tuổi 18-34 (81,5%), hầu hết các sản phụ sinh con đơn (97,8%), sinh con lần 1 (24,4%), sinh con lần 2 (44,4%), bệnh nhân có tiền sử mổ lấy thai (66%). Không có bệnh nhân nào sử dụng kháng sinh trước rạch da từ 0-60 phút, 100% bệnh nhân sử dụng kháng sinh trong mổ (sau kẹp rốn), 100% bệnh nhân sử dụng kháng sinh sau mổ <
24h và 100% bệnh nhân tiếp tục sử dụng kháng sinh sau mổ >
24h, 92,3% bệnh nhân có tổng thời gian sử dụng kháng sinh là 5 ngày. Trong đó phác đồ kháng sinh được sử dụng trong mổ (sau kẹp rốn) chiếm tỷ lệ cao nhất là Ampicillin/Sulbactam (99,4%), phác đồ sử dụng kháng sinh đơn trị liệu sau mổ >
24h chiếm tỷ lệ cao (99,4%). Kết luận: Không có bệnh nhân được sử dụng kháng sinh trước mổ. Tất cả các bệnh nhân được sử dụng kháng sinh sau kẹp rốn, sau mổ <
24h và sau mổ >
24h. Kháng sinh được sử dụng nhiều nhất là Ampicillin/Sulbactam. Tất cả các bệnh nhân được sử dụng kháng sinh cho tới khi ra viện.Objective: To describe the antibiotic usage patterns in patients undergoing cesarean section at Green International Hospital in 2023. Methods: A cross-sectional descriptive study was conducted through a retrospective review of 491 medical records of patients who underwent cesarean section from July 1, 2023, to September 30, 2023, patients aged 18 years and older, who were prescribed antibiotics during their hospitalization at Green International Hospital, were included. Results: The majority of patients were aged 18-34 (81.5%). Most patients had singleton pregnancies (97.8%), with 24.4% delivering their first child and 44.4% delivering their second. A significant proportion of patients had a history of cesarean sections (66%). None of the patients received antibiotics within 0-60 minutes before skin incision. However, 100% of patients received antibiotics intraoperatively (after cord clamping), within 24 hours postoperatively, and beyond 24 hours postoperatively. The total duration of antibiotic administration was 5 days in 92.3% of the patients. The most commonly used antibiotic regimen during surgery (after cord clamping) was Ampicillin/Sulbactam (99.4%), and 99.4% of patients received monotherapy antibiotics for more than 24 hours postoperatively. Conclusion: None of the patients received preoperative antibiotics. All patients received antibiotics after cord clamping, within 24 hours postoperatively, and beyond 24 hours. The most frequently used antibiotic was Ampicillin/Sulbactam. All patients continued receiving antibiotics until discharge.

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