产妇产褥期感染病原学特点及危险因素分析

发布时间：2018-01-15 20:36

本文关键词：产妇产褥期感染病原学特点及危险因素分析　出处：《中华医院感染学杂志》2017年20期 　论文类型：期刊论文

【摘要】：目的探讨产妇产褥期感染的病原学分布及感染的危险因素分析。方法选取2015年6月-2016年10月医院收治的产妇483例作为研究对象,调查产褥期感染的情况,对感染产妇进行分析,收集样本进行病原学检测,运用单因素及多因素logistic线性回归分析方法探讨发生感染的危险因素。结果 483例产妇共发生产褥期感染17例,感染率为3.52%,其中8例发生在会阴切口占47.06%;17例产妇共检出59株病原菌,其中革兰阴性菌24株占40.68%,革兰阳性菌30株占50.85%;单因素分析结果表明:产程(活跃期)延长(8h)、破膜时间长(12h)、剖宫产、医源性操作不当、产前产后出血、胎膜早破、合并慢性病、贫血的产妇出现感染的概率明显高于其他产妇,差异有统计学意义(P0.05),logistic多因素结果显示:产程(活跃期)延长(8h)、胎膜早破、医源性操作不当、产前产后出血是产妇产褥期感染的独立危险因素。结论产妇产褥期易受到多种病原菌感染,针对产褥期感染的病原菌使用相应的抗菌药物至关重要,但更为重要的是根据产褥期感染的危险因素采取针对性地预防措施,减少产褥期感染的发生率。
[Abstract]:Objective to investigate the etiological distribution of puerperal infection and the risk factors of infection. Methods 483 cases of puerpera admitted from June 2015 to October 2016 were selected as the study objects. To investigate the situation of puerperium infection, to analyze the infected puerpera, to collect samples for etiology detection. Univariate and multivariate logistic linear regression analysis was used to study the risk factors of infection. Results 17 cases of puerperal infection occurred in 3.52% cases of puerpera. Among them, 8 cases occurred in perineal incision (47.06%). A total of 59 strains of pathogenic bacteria were detected in 17 puerperas, of which 24 were Gram-negative bacteria (40.68) and 30 Gram-positive bacteria (50.85). The results of univariate analysis showed that the duration of labor (active period) was prolonged for 8 hours, the time of membrane rupture was longer than 12 hours, cesarean section, iatrogenic misoperation, antepartum and postpartum hemorrhage, premature rupture of membranes, and complicated with chronic diseases. The probability of infection in anemia parturient was significantly higher than that in other parturients, and the difference was statistically significant (P 0.05) logistic multivariate results showed that the stage of labor (active period) was prolonged for 8 hours. Premature rupture of membranes, improper iatrogenic operation, prenatal and postpartum hemorrhage are the independent risk factors of puerperal infection. Conclusion Maternal puerperium is susceptible to various pathogens infection. It is very important to use antimicrobial agents against puerperium infection, but it is more important to take preventive measures according to the risk factors of puerperium infection to reduce the incidence of puerperium infection.
【作者单位】：海南医学院第二附属医院妇产科;
【分类号】：R714.62
【正文快照】： 产妇是特殊的群体,在产褥期不仅有分娩造成的身心不适,面对来自家庭、社会的各种压力,而且要承担照顾新生儿的责任,在照顾孩子的过程中,往往因全身心投入而忽略了自身健康[1],因此易受病原体感染,引起局部和全身的炎症,产后健康和生活质量受到严重影响[2],此外,感染还会对

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