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the aim of this study is to evaluate the efficacy of employing cefepime (CFM) versus ampicillin/sulbactam (AMS) in lowering the rate of post-cesarean surgical site infections.
A prospective randomized clinical study conducted in the department of obstetrics and gynecology of Beni-Suef University Hospital . A total of 213 women were assessed for eligibility, 13 of which were excluded. A total of 200 pregnant women who were eligible for elective cesarean sections (CS). The overall median duration of postoperative followed up was from 10 days to one month to determine the surgical site infection (SSI).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cefepime Group | Experimental | Pregnant women (n=100) received IV cefepime (CEF) (maxipime®1000mg) 30 minutes before cesarean delivery (CD) and 12 hours after CD |
|
| Ampicillin/Sulbactam | Active Comparator | Pregnant women (n=100) received IV Ampicillin/Sulbactam (AMS) (Unictam® 1500 mg) 30 minutes before CD and 12 hours after CD |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cefepime 1000 MG | Drug | Cefepime is a fourth-generation cephalosporin antibiotic |
|
| Measure | Description | Time Frame |
|---|---|---|
| surgical site infection | pain, redness, swelling, warm skin around the wound, yellow or green discharge | 1 month |
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Inclusion Criteria:
Exclusion Criteria:
Severe hepatic disease women Emergent cesarean deliveries. Women with medical disorders as pre-gestational diabetes, anemia, hypertension, or preeclampsia.
Women who had a skin infection adjacent to the operative site.
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| Name | Affiliation | Role |
|---|---|---|
| Beni-Suef University | Faculty of Medicine Beni-Suef University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beni-suef university Hospital | Banī Suwayf | Beni Suweif Governorate | 62521 | Egypt |
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| ID | Term |
|---|---|
| D007239 | Infections |
| D013530 | Surgical Wound Infection |
| ID | Term |
|---|---|
| D014946 | Wound Infection |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000077723 | Cefepime |
| C035444 | sultamicillin |
| ID | Term |
|---|---|
| D002511 | Cephalosporins |
| D047090 | beta-Lactams |
| D007769 | Lactams |
| D000577 | Amides |
| D009930 |
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| Ampicillin-sulbactam | Drug | Broad-Spectrum Antibiotic |
|
|
| Organic Chemicals |
| D013843 | Thiazines |
| D013457 | Sulfur Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |