title: Pre-incision antibiotic prophylaxis reduces the incidence of post-caesarean surgical site infection.
abstract: A two-part prospective study was conducted to assess rates of surgical site infection (SSI) following caesarean section in a large Australian regional hospital before and after a change of timing of antibiotic prophylaxis from after cord clamping to pre-incision. SSI rates dropped from 10.8% in 2010 to 2.8% in 2011 with no adverse neonatal consequences, providing further evidence that antibiotic prophylaxis should be given pre-incision for caesarean section in hospitals in Australia and New Zealand, as is now accepted practice elsewhere.
authors.affiliation: Queensland Health, Cairns Base Hospital, Cairns, Australia.
authors.forename: J
authors.initials: J
authors.lastname: Brown
authors.forename: M
authors.initials: M
authors.lastname: Thompson
authors.forename: S
authors.initials: S
authors.lastname: Sinnya
authors.forename: A
authors.initials: A
authors.lastname: Jeffery
authors.forename: C
authors.initials: C
authors.lastname: de Costa
authors.forename: C
authors.initials: C
authors.lastname: Woods
authors.forename: P
authors.initials: P
authors.lastname: Howat
authors.forename: A
authors.initials: A
authors.lastname: Raulli
mesh_terms: D000328:Adult; D019072:Antibiotic Prophylaxis / Q000379:methods*; D001315:Australia / Q000453:epidemiology; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D009520:New Zealand / Q000453:epidemiology; D011247:Pregnancy; D011300:Preoperative Care / Q000379:methods*; D015995:Prevalence; D011446:Prospective Studies; D013530:Surgical Wound Infection / Q000453:epidemiology* / Q000517:prevention & control*; D055815:Young Adult