急诊剖宫产术后切口感染病原学特点和影响因素分析

发布时间：2018-04-22 01:11

本文选题：急诊剖宫产 + 术后切口感染　；参考：《中华医院感染学杂志》2017年07期

【摘要】：目的探究急诊剖宫产术后患者切口感染病原学特点并对其影响因素进行分析,为临床治疗提供参考依据。方法选取2012年3月-2014年12月在医院急诊科行急诊剖宫产的患者120例,对其临床资料进行统计学分析,同时对切口分泌物进行细菌培养和鉴定。结果 120例患者术后共有78例患者出现不同程度的切口感染,感染率为65.0%;孕妇体质肥胖,存在贫血、合并相关基础疾病、妊娠期出现高血压、阴道检查次数过多、术中时程长、术中失血量过多的均会在一定程度上增加孕妇切口感染率(P0.05);但孕产妇的年龄、是否为初产妇以及孕妇的实际孕周等情况对孕妇切口感染率无明显影响;革兰阴性菌对头孢类和氨苄西林等抗菌药物的耐药性较高,革兰阳性菌主要对青霉素、氨苄西林、红霉素有着较高的耐药性。结论急诊剖宫产术后感染对于孕妇健康恢复有很大的影响,因此预防孕妇术后医院感染显得十分重要,同时还需及时了解和掌握该地区医院感染病原菌的分布特点及影响因素。
[Abstract]:Objective to investigate the etiological characteristics of incision infection in emergency caesarean section patients and analyze its influencing factors, so as to provide reference for clinical treatment. Methods 120 patients with emergency cesarean section from March 2012 to December 2014 were selected and their clinical data were statistically analyzed. Meanwhile, bacteria culture and identification of incision secretion were carried out. Results among 120 patients, 78 patients had different degree of incision infection, the infection rate was 65.0. The pregnant women were obese, anemia, associated basic diseases, hypertension during pregnancy, too many times of vaginal examination, and the duration of operation was long. The rate of incision infection of pregnant women was increased to a certain extent by excessive blood loss during operation, but the age of pregnant women, whether the pregnant women were primipara and the actual gestational weeks of pregnant women had no significant influence on the infection rate of pregnant women. Gram-negative bacteria showed higher resistance to antibiotics such as cephalosporins and ampicillin, while Gram-positive bacteria were mainly resistant to penicillin, ampicillin and erythromycin. Conclusion the infection after emergency cesarean section has great influence on the health recovery of pregnant women, so it is very important to prevent nosocomial infection after cesarean section for pregnant women. At the same time, it is necessary to understand and master the distribution characteristics and influencing factors of nosocomial infection pathogens in this area.
【作者单位】：洛阳市中心医院产科;
【基金】：河南省教育厅自然基金(2015364536)
【分类号】：R719.8

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