Addition of Azithromycin to Cefazolin Will Reduce Post CS Infections More Than Cefazolin Only.

ADDATION OF Azithromycin TO CEFAZOLIN PRE ELECTIVE C S

The good standard antibiotic prophylaxis pre elective C S is cefazolin and this study will approve addition of azithromycin to cefazolin will reduce post CS infections more than cefazolin only.

Patiants and methods

Randomization:

Patients fulfilling the inclusion criteria will be randomized to two groups. Both two group will receive standard prophylaxis antibiotic CEFAZOLIN (zinol) (at a dose of 1 g) 2 hours preoperative.

Control Group:

This group will include 200women undergoing elective cs. In this group, patients will receive standard antibiotic prophylaxis CEFAZOLIN (at a dose of 1 g) and azithromycin (at a dose of 1g) 2 hours preoperative.

Study Group:

This group will include 200women undergoing elective cs. In this group, patients will receive only standard prophylaxis antibiotic(CEFAZOLIN)

Inclusion criteria:

• Gestational age of 37 0/7 weeks and greater
• Elective cesarean section
• Medicaly free pregnant women

Exclusion criteria:

• a known allergy to azithromycin
• obstetric complications
• azithromycin use within 7 days before randomization
• chorioamnionitis or other infection requiring postpartum antibiotic therapy
• Pre-gestational diabetes

Inclusion Criteria:

• Gestational age of 37 0/7 weeks and greater
• Elective cesarean section
• Medicaly free pregnant women

Exclusion Criteria:

• a known allergy to azithromycin
• obstetric complications
• azithromycin use within 7 days before randomization
• chorioamnionitis or other infection requiring postpartum antibiotic therapy
• Pre-gestational diabetes