剖宫产手术后医院感染及相关性分析

目的研究剖宫产手术后医院感染高发部位和相关因素，探讨有效应对策略。方法对医院2008年5月-2013年9月期间监测1692例实施剖宫产手术产妇的调查资料进行回顾性总结分析。结果1692例剖宫产手术产妇19例发生医院感染，占1．12％，感染部位依次是泌尿道、手术部位、上呼吸道、胃肠道、下呼吸道、血液系统多重耐药菌医院感染率较高。结论剖宫产手术后特别是急诊剖宫产手术后医院感染应重点预防和控制泌尿道感染和手术部位感染；关注手术部位金黄色葡萄球菌感染，关注医院多重耐药菌感染。

Correlation Analysis of the Nosocomial Infection after Caesarean Operation

Objective To explore effective coping measures through the study on the high-risk areas and related factors of nosocomial infection after caesarean operation. Methods The data of 1692 cases of cesarean section surgery were retrospectively analyzed from May 2008 to September 2013.Results About 19 parturients got nosocomial infection, and the rate of nosocomial infection was 1.12%, and the most easily-infected parts are urinary tract, surgical spot, upper respiratory tract, gastrointestinal tract, lower respiratory tract and blood system; the most common bacteria is Multidrug-Resistant Organism （MDROs）. Conclusion The key points of nosocomial infection after caesarean operation were prophylaxis and control of urinary tract infection and surgical site infection. We should focus on staphylococcus aureus infection in surgical spot and MDROs infection.