Prophylaxis in caesarean section with cefmetazole and cefoxitin

W. R. Crombleholme, J. R. Green, M. Ohm-Smith, V. DeKay, C. Klaisle, J. Luft, M. Robbie, D. Dahrouge, Richard L Sweet

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


A prospective, randomized, open comparison of three 1 g doses of cefmetazole with three 2 g doses of cefoxitin for non-elective Caesarean section was performed. Sixty-nine patients were evaluated. The two groups were comparable with respect to labout characteristics that might influence risk of postoperative infectious morbidity. Similarly, the nature of the bacterial contamination/infection of the amniotic fluid at the time of Caesarean section was comparable in the two groups. The only infectious morbidity noted was endomyometritis. The incidence was the same in both groups, 5/50 (10%) in the cefmetazole group and 2/19 (10.5%) in the cefoxitin group. Febrile morbidity, as reflected in the fever index, was not significantly different between the groups, 10.2 ± 18.5 degree hours in the cefmetazole group and 7.5 ± 11.7 degree hours in the cefoxitin group. Cefmetazole to be equivalent to cefoxitin in reducing post-Caesarean section endomyometritis.

Original languageEnglish (US)
Pages (from-to)97-91
Number of pages7
JournalJournal of Antimicrobial Chemotherapy
Issue numberSUPPL. D
StatePublished - 1989

ASJC Scopus subject areas

  • Microbiology
  • Pharmacology


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