PRESCRIBING PATTERN OF ANTIBIOTICS AMONG PRE AND POST-OPERATIVE CAESAREAN SECTION AMONG PRACTICING OBSTETRICIAN

Main Article Content

Dr. Shruti Gupta
Dr. Ambrish Kumar Gupta
Dr. Parul Kamal

Keywords

Caesarean section, Cephalosporins, Aminoglycosides, Metronidazole

Abstract

Aim: The aim of present study is to evaluate the prescribing pattern and rational use of antibiotics in post-operative caesarean section (CS) in tertiary care hospital.


Materials and methods: Prospective observational case report study was conducted from July-2021 to November-2021. The complete data of 75 women who had undergone caesarean section like,  age, line of management, number of antibiotic being prescribed before C section and  during discharge, adverse effects and complications occurred during study was collected. Data was entered in MS excel sheet and analysed by descriptive statistics.


Results: Total of 75 post-operative caesarean section inpatients data was collected and analysed in the study. Cephalopelvic disproportion was the most common cause of C-section. Among 75 women, 31% were belongs to age group 25 to 30 years and remaining 69% were belongs to age group 31 to 35 years. Before C-section to prevent infections, most commonly prescribed antimicrobial agents were IIIrd generation Cephalosporin’s (91.11%) and metronidazole (79.35%). Some patients also received other groups of antibiotics like Aminoglycosides (20.54%) and Penicillin (2.94%). During discharge most commonly penicillin were given (67.1%) followed by aminoglycosides (44.1%), tinidazole 32.35%, metronidazole (23.52%) and cephalosporin’s 23.52%. All the drugs were prescribed in generic name and in small letters of English.


Conclusion: Usage of antimicrobial agents has become common either to prevent or to treat infections during or after cesarean section but, aseptic precautions must be the first approach to prevent infections. Prescribers should be cautious while prescribing antibiotics and also make sure the rationality of prescription

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