Cochrane · systematic review · CD007482

Antibiotic prophylaxis versus no prophylaxis for preventing infection after cesarean section

Smaill, FM, Grivell, RM · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 2 · 25%Very low 0 · 0%Low 1 · 12.5%Moderate 5 · 62.5%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Antibiotics versus no antibiotics for preventing infection after cesarean section

Population: Women undergoing cesarean section.
4 questions
OutcomeEffectEvidenceStatus / GRADE
Maternal wound infection
Antibiotics vs no antibiotics
RR 0.4 [0.35, 0.46]82 studies · 14407 participantsModerate
Downgraded: risk of bias
Maternal endometritis
Antibiotics vs no antibiotics
RR 0.38 [0.34, 0.42]83 studies · 13548 participantsModerate
Downgraded: risk of bias
Maternal serious infectious complications
Antibiotics vs no antibiotics
RR 0.31 [0.2, 0.49]32 studies · 6159 participantsModerate
Adverse effects on infant
Antibiotics vs no antibiotics
no estimate extracted0 studies · 0 participantsUngraded

Antibiotics versus no antibiotics for preventing infection after elective cesarean section

Population: Women undergoing elective cesarean section
4 questions
OutcomeEffectEvidenceStatus / GRADE
Maternal wound infection
Antibiotics vs no antibiotics
RR 0.62 [0.47, 0.82]17 studies · 3537 participantsModerate
Maternal endometritis
Antibiotics vs no antibiotics
RR 0.38 [0.24, 0.61]15 studies · 2502 participantsModerate
Maternal serious infectious complications
Antibiotics vs no antibiotics
RR 1.01 [0.04, 24.21]4 studies · 545 participantsLow
Adverse effects on infant
Antibiotics vs no antibiotics
no estimate extracted0 studies · 0 participantsUngraded