PURLs: Does azithromycin have a role in cesarean sections?

J Fam Pract. 2017 Dec;66(12):762-764.

Abstract

A 26-year-old G1P0 at 40w1d presents in spontaneous labor and is dilated to 4 cm. The patient reached complete cervical dilation after artificial rupture of membranes and oxytocin augmentation. After 4 hours of pushing, there has been minimal descent of the fetal vertex beyond +1 station with significant caput succedaneum. Her physician decides to proceed with cesarean delivery. What antibiotics should be administered prior to incision to reduce postoperative infection?

MeSH terms

  • Adult
  • Anti-Bacterial Agents / administration & dosage*
  • Antibiotic Prophylaxis*
  • Azithromycin / administration & dosage*
  • Cesarean Section*
  • Female
  • Humans
  • Pregnancy
  • Surgical Wound Infection / prevention & control*

Substances

  • Anti-Bacterial Agents
  • Azithromycin