Objective: To evaluate the effectiveness of antibiotic prophylaxis during cesarean section in the Gynecology-Obstetrics department of the Donka national hospital in Conakry. Methodology: This was a prospective case-control analytical study lasting 3 months involving 250 patients undergoing cesarean section. The short protocol included 125 patients who received a single dose of 2g of antibiotics intraoperatively after cord clamping while the other 125 patients (long protocol) received antibiotic therapy for 48 hours after the procedure. Results: The sociodemographic profile of the patients was the same in both arms. The mean age of the patients was 24 years with extremes of 14 and 42 years; the 20-24 age group was the most represented (31.2% vs 32.8%). Our series was dominated by primiparas (40% vs 42%). The main mode of admission was evacuation (78.4% vs 64%). The main early postoperative complication encountered was fever (8.2% vs 13.2%) followed by surgical site infection (4% vs 12%). Bivariate analysis shows a statistically significant association between the occurrence of postoperative fever and the long antibiotic protocol (p = 0.028) and this protocol is a protective factor against surgical site infection (p = 0.013). And is more frequently used in the context of emergency cesarean section (p = 0.011). Conclusion: Antibiotic prophylaxis is as effective as antibiotic therapy and thus represents a significant health saving for our countries.
| Published in | Journal of Gynecology and Obstetrics (Volume 13, Issue 2) |
| DOI | 10.11648/j.jgo.20251302.11 |
| Page(s) | 17-21 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Antibiotic Prophylaxis, Antibiotic Therapy, Cesarean Section, Conakry
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APA Style
Bah, I. K., Sow, A. I., Diallo, B. A., Tolno, J. T., Diallo, L., et al. (2025). Antibiotic Prophylaxis During Cesarean Section in the Gynecology-Obstetrics Department of the Donka National Hospital, Conakry. Journal of Gynecology and Obstetrics, 13(2), 17-21. https://doi.org/10.11648/j.jgo.20251302.11
ACS Style
Bah, I. K.; Sow, A. I.; Diallo, B. A.; Tolno, J. T.; Diallo, L., et al. Antibiotic Prophylaxis During Cesarean Section in the Gynecology-Obstetrics Department of the Donka National Hospital, Conakry. J. Gynecol. Obstet. 2025, 13(2), 17-21. doi: 10.11648/j.jgo.20251302.11
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Download@article{10.11648/j.jgo.20251302.11,
author = {Ibrahima Koussy Bah and Alhassane II Sow and Boubacar Alpha Diallo and Julien Tamba Tolno and Laouratou Diallo and Maimouna Balde and Alpha Ibrahima Balde and Kabinet Camara and Abdourahamane Diallo and Telly Sy},
title = {Antibiotic Prophylaxis During Cesarean Section in the Gynecology-Obstetrics Department of the Donka National Hospital, Conakry
},
journal = {Journal of Gynecology and Obstetrics},
volume = {13},
number = {2},
pages = {17-21},
doi = {10.11648/j.jgo.20251302.11},
url = {https://doi.org/10.11648/j.jgo.20251302.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20251302.11},
abstract = {Objective: To evaluate the effectiveness of antibiotic prophylaxis during cesarean section in the Gynecology-Obstetrics department of the Donka national hospital in Conakry. Methodology: This was a prospective case-control analytical study lasting 3 months involving 250 patients undergoing cesarean section. The short protocol included 125 patients who received a single dose of 2g of antibiotics intraoperatively after cord clamping while the other 125 patients (long protocol) received antibiotic therapy for 48 hours after the procedure. Results: The sociodemographic profile of the patients was the same in both arms. The mean age of the patients was 24 years with extremes of 14 and 42 years; the 20-24 age group was the most represented (31.2% vs 32.8%). Our series was dominated by primiparas (40% vs 42%). The main mode of admission was evacuation (78.4% vs 64%). The main early postoperative complication encountered was fever (8.2% vs 13.2%) followed by surgical site infection (4% vs 12%). Bivariate analysis shows a statistically significant association between the occurrence of postoperative fever and the long antibiotic protocol (p = 0.028) and this protocol is a protective factor against surgical site infection (p = 0.013). And is more frequently used in the context of emergency cesarean section (p = 0.011). Conclusion: Antibiotic prophylaxis is as effective as antibiotic therapy and thus represents a significant health saving for our countries.
},
year = {2025}
}
TY - JOUR T1 - Antibiotic Prophylaxis During Cesarean Section in the Gynecology-Obstetrics Department of the Donka National Hospital, Conakry AU - Ibrahima Koussy Bah AU - Alhassane II Sow AU - Boubacar Alpha Diallo AU - Julien Tamba Tolno AU - Laouratou Diallo AU - Maimouna Balde AU - Alpha Ibrahima Balde AU - Kabinet Camara AU - Abdourahamane Diallo AU - Telly Sy Y1 - 2025/03/06 PY - 2025 N1 - https://doi.org/10.11648/j.jgo.20251302.11 DO - 10.11648/j.jgo.20251302.11 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 17 EP - 21 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20251302.11 AB - Objective: To evaluate the effectiveness of antibiotic prophylaxis during cesarean section in the Gynecology-Obstetrics department of the Donka national hospital in Conakry. Methodology: This was a prospective case-control analytical study lasting 3 months involving 250 patients undergoing cesarean section. The short protocol included 125 patients who received a single dose of 2g of antibiotics intraoperatively after cord clamping while the other 125 patients (long protocol) received antibiotic therapy for 48 hours after the procedure. Results: The sociodemographic profile of the patients was the same in both arms. The mean age of the patients was 24 years with extremes of 14 and 42 years; the 20-24 age group was the most represented (31.2% vs 32.8%). Our series was dominated by primiparas (40% vs 42%). The main mode of admission was evacuation (78.4% vs 64%). The main early postoperative complication encountered was fever (8.2% vs 13.2%) followed by surgical site infection (4% vs 12%). Bivariate analysis shows a statistically significant association between the occurrence of postoperative fever and the long antibiotic protocol (p = 0.028) and this protocol is a protective factor against surgical site infection (p = 0.013). And is more frequently used in the context of emergency cesarean section (p = 0.011). Conclusion: Antibiotic prophylaxis is as effective as antibiotic therapy and thus represents a significant health saving for our countries. VL - 13 IS - 2 ER -
Gynecology-Obstetrics Department, Ignace Deen National Hospital, Conakry, Guinea
Gynecology-Obstetrics Department, Ignace Deen National Hospital, Conakry, Guinea
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