ANTIBIOTIC PROFILE IN POST-OPERATIVE OBSTETRIC PATIENTS: A RETROSPECTIVE STUDY
Dr. Tejashwini K., *Dr. Aruna Bhushan and Dr. Divyashree L. R.
ABSTRACT
Background: Surgical site infections are common problem in the postoperative patients since ages especially in obstetrical operation. Antibiotics are used routinely in the clinical practice in the post operative cases. There is a need for a very few classes of drugs and for a short duration. Antimicrobial agents play a very important role in prophylaxis as well for the treatment. But most of the antimicrobials are used rampant postoperatively. Hence this study is undertaken to evaluate the use of antibiotics in postoperative obstetric patients. Objective: To assess antibiotic profile in post operative patients of obstetric department. Methods and material: The data of post operative obstetrics patients of a tertiary care hospital were collected from the medical record department of BIMS over a period of one year. 105 case records collected were entered in predesigned proforma. The data was analyzed using various drug use indicators given by the WHO in our retrospective study. Results: A total 105 cases were analysed, percentage of patients prescribed with antibiotics were100%. Most of the antibiotics prescribed were with brand names (70%) and generic names (30%). Cefotaxime, third generation cephalosporins was the most commonly prescribed antimicrobial agent (98.09%), followed by gentamicin (93.33%) and metronidazole (93.33%). Most of the patients along with antibiotics received more than 6 drugs and their hospital stay was also extended. Conclusion: Multiple antimicrobial agents were used for prophylaxis and postoperatively in the obstetric patients. The present study is intended to be a step in broader evaluation of safe and efficacious use of antibiotics in patients.
Keywords: Obstetrics, operations, antibiotics, postoperative infections.
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