Examinando por Materia "Complicaciones Infecciosas del Embarazo"

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    Effectiveness of antibiotic prophylaxis before incision or after cord clamping to reduce the risk of postoperative infectious complications in cesarean section patients
    (Universidad Privada Norbert Wiener, 2018-12-02) Cavero Aspajo, Silvia Stefany; Checcllo Escriba, Lizbeth Alcida; Cárdenas de Fernández, María Hilda
    MATERIALS AND METHODS: This is a systematic review, its population being 150 scientific articles and its sample being 10 articles. Explorations were carried out in the databases of Cochrane Library, Embase, PubMed, Willey Online Library, Central database, Science Direct and Epistemonikos, to obtain results that compared the effectiveness of antibiotic prophylaxis prior to the incision and after clamping of the umbilical cord to reduce risks of infectious complications. Through the Grade system, the effectiveness of the evidence and the strength of recommendation of the articles were evaluated. RESULTS: 10 studies fully completed the insertion criteria. It was observed in 70% of research that antibiotic prophylaxis before incision is more effective than after clamping the umbilical cord, to reduce the risks of postoperative infectious complications. However, the remaining 30% argue that both antibiotic prophylaxis before of the incision compared to after clamping did not demonstrate superiority, that is, both are effective. CONCLUSIONS: Antibiotic prophylaxis before incision is more effective in preventing the emergence of infectious complications compared after clamping the umbilical cord in cesarean patients.