摘要
目的分析生殖道支原体属感染与剖宫产术后产褥感染的关系,总结减少产褥感染的方法。方法回顾性分析2006年1月-2011年12月在医院行剖宫产术后发生产褥感染的162例患者临床资料,随机选择121例进行支原体属培养,41例进行细菌培养,分析产妇的感染情况,根据感染不同情况给予相应的治疗。结果支原体属培养阳性率为52.1%,细菌培养结果阳性率为39.0%,支原体属培养中解脲脲支原体占47.6%,人支原体占52.4%,细菌培养中表皮葡萄球菌最多,占43.8%,大肠埃希菌、奇异变形菌、肠球菌属、不动杆菌属分别占31.2%、12.5%、6.3%、6.3%。结论孕期生殖道支原体属培养阳性是产妇剖宫产术后易发生产褥感染的高危因素,应加强孕前阴道炎的检查和治疗,减少剖宫产术后产褥感染的发生。
OBJECTIVE To analyze the correlation between the genital tract Mycoplasma infections and the puerperal infections after cesarean section so as to put forward measures to reduce the incidence of puerperal infections. METHODS Retrospective analysis was performed for the clinical data of 162 patients with puerperal infections after undergoing the cesarean section from Jan 2006 to Dec 2011, 121 cases were randomly selected to perform the Mycoplasma culture, 41 cases for the bacterial culture. The incidence of the puerperal infections was analyzed, and the corresponding treatment was performed according to the different circumstances of the infections. RESULTS The positive rate of Mycoplasma culture was 52. 1%, the positive rate of bacterial culture was 39. 0%. Ureaplasma urealyticum accounted for 47. 6% among the Mycoplasma , Mycoplasma hominids 52.4% Staphylococcus epidermidis was the predominant species of the bacteria, accounting for 43. 8%, followed by the Escherichia coli （31.2 % ）, Proteus mirabilis （12.5 % ） , Enterococci （6.3 % ） , and Acinetobacter （6. 3%）. CONCLUSION The Mycoplasma cultured positive during the pregnancy is a high-risk factor for the puerperal infections after the cesarean section; therefore it is necessary to strengthen the examination and treatment of vaginitis before the pregnancy so as to reduce the incidence of puerperal infections after the cesarean section.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第6期1383-1384,共2页
Chinese Journal of Nosocomiology
关键词
支原体属
产褥感染
剖宫产
Mycoplasma infections
Puerperal infection
Cesarean section
