剖宫产手术切口感染的目标性监测

目的 探讨剖宫产切口感染的易感因素.方法 采用目标性监测,收集剖宫产手术切口感染危险因素及病原学资料.结果 1310例剖宫产中有62例发生切口感染,感染率4.73％,切口感染的危险因素为:肥胖、贫血、基础疾病、滞产或胎膜早破、应用抗菌药物、手术时间长、术中失血;62例切口感染者共培养病原菌30株,其中革兰阳性球菌17株,占56.67％,革兰阴性杆菌11株,占36.67％,真菌2株,占6.67％.结论 多种因素影响手术切口感染,对高危人群可采取有效措施,预防手术切口感染.

Targeted monitoring of incision infection caused by cesarean section

OBJECTIVE To explore the susceptible factors for incision infections due to cesarean section.METHODS Targeted monitoring was adopted,the risk factors for incision infections of cesarean section and the data on etiology were collected.RESULTS The incision infections occurred in 62 of 1310 cases who underwent cesarean section with the infection rate of 4.73 %.The risk factors for incision infections included obesity,anemia,underlying diseases,prolonged labor or fetal premature rupture of fetal membrane,use of antibiotics,long duration of operation,and intraoperative hemorrhage.Of the 30 strains of pathogens cultured from patients with incision infections,there were 17 strains of gram-positive cocci,accounting for 56.67%,11 strains of gram-negative bacilli,accounting for 36.67% and there were 2 strains of fungi,accounting for 6.67%.CONCLUSION There are many factors that can influence the surgical incision infections.It is necessary for the high-risk population to take effective measures to prevent surgical incision infections.