剖宫产患者医院感染目标性监测

Targeted Monitoring of the Nosocomial Infection Undergoing Cesarean Section

目的:探讨剖宫产手术切口感染的危险因素,监测医院感染发生率及围术期抗菌药物使用情况。方法:采用目标性监测,采集剖宫产手术切口感染危险因素,医院感染发生率及围术期用药情况并进行分析。结果:225例剖宫产患者有12例发生医院感染,医院感染率为5.33%,其中5例切口感染,切口感染率为2.22%。剖宫产切口感染的危险因素为:贫血、产前子痫、妊娠糖尿病、胎膜早破、急性重症肝炎。抗菌药物使用疗程在48h内的有19例,占8.44%。结论:剖宫产手术切口感染与多种危险因素相关,围术期抗菌药物使用存在不合理现象。

@@@@Objective:To explore the risk factors for incision infections,the nosocomial infection rate and antibiotics during perioperative period due to cesarean section.Method:Targeted monitoring was adopted.The risk factors for incision infections,the nosocomial infection rate and the usage of antibiotics were collected.Result:The nosocomial infection occurred in 12 of 225 cases undergoing cesarean section with the infection rate of 5.33%.5 cases were incision infections with the incision infections rate of 2.22%.The risk factors for incision infections included anemia,pre-edampsia,diabetes, fetal premature rupture of fetal membrane,acute severe hepatitis.19 cases used antibiotics less than 48 hours during perioperative period and occupied 8.44%.Conclusion:The incision infections of cesarean section has relations with mang risk factors.The phenomenon in the irrational useage of antibiotics is common.