摘要
目的 探究产褥期感染的病原菌分布情况及危险因素。方法 1058例产褥期产妇作为研究对象,采集血液、尿液、阴道分泌物、宫颈分泌物等样本,对其进行细菌培养鉴定,观察产褥期感染发生情况、病原菌分布情况,并结合临床资料分析发生产褥期感染的危险因素。结果 1058例产妇中发生产褥期感染53例,发生率为5.01%;其中会阴切口感染21例、占比39.62%,泌尿系统感染14例、占比26.42%,生殖系统感染12例、占比22.64%,其他感染6例、占比11.32%。共分离病原菌65株,其中革兰阳性菌32株、占比49.23%,革兰阴性菌28株、占比43.08%,真菌5株、占比7.69%。不同年龄、产次的产妇产褥期感染发生率比较差异无统计学意义(P>0.05);分娩时孕周<36周、合并基础疾病、产钳助产/剖宫产、产后出血、产程≥8 h的产褥期感染发生率分别为15.94%、13.00%、7.13%、15.63%、13.33%,高于分娩时孕周≥36周、未合并基础疾病、顺产、未发生产后出血、产程<8 h的4.25%、4.18%、3.27%、4.68%、4.77%,差异有统计学意义(P<0.05)。分娩时孕周<36周、合并基础疾病、产钳助产/剖宫产、产后出血、产程≥8 h为产褥期感染的危险因素(P<0.05)。结论 产褥期感染主要发生于会阴切口、泌尿系统、生殖系统,以革兰阳性菌多见,且与产妇分娩时孕周、是否合并基础疾病、分娩方式的选择、产程时间及是否发生产后出血有关。
Objective To investigate the distribution of pathogenic bacteria and risk factors of puerperal infection. Methods Samples of blood, urine, vaginal secretions and cervical secretions were collected from 1058 women with puerperal infection. Bacterial culture and identification were carried out to observe the occurrence of puerperal infection, the distribution of pathogenic bacteria, and the risk factors of puerperal infection were analyzed combined with clinical data. Results 53 out of 1058 parturient women had puerperal infection,the incidence was 5.01%;there were 21 cases of perineal incision infection, accounting for 39.62%, 14 cases of urinary system infection, accounting for 26.42%, 12 cases of reproductive system infection, accounting for 22.64%, and 6 cases of other infections, accounting for 11.32%. A total of 65 strains of pathogenic bacteria were isolated, including including 32 strains of gram-positive bacteria, accounting for 49.23%, 28 strains of gramnegative bacteria, accounting for 43.08%, and 5 strains of fungi, accounting for 7.69%. There was no statistically significant difference in the incidence of puerperal infection among women of different ages and parity(P>0.05).The incidence rates of puerperium infection were 15.94%, 13.00%, 7.13%, 15.63% and 13.33% for women with gestational age <36 weeks, underlying diseases, forceps delivery/cesarean section, postpartum hemorrhage and labor duration ≥8 h at delivery, which were higher than 4.25%, 4.18%, 3.27%, 4.68% and 4.77% of the women with gestational age ≥36 weeks, no underlying disease, vaginal delivery, no postpartum hemorrhage and labor duration <8 h at delivery, and the differences were statistically significant(P<0.05). Gestational age <36 weeks,underlying diseases, forceps delivery/cesarean section, postpartum hemorrhage, and labor duration ≥8 h at delivery were risk factors for puerperium infection(P<0.05). Conclusion The puerperal infection mainly occurs in perineal incision, urinary system and reproductive system, most of which are Gr
作者
石佳
SHI Jia(Shenyang Anlian Maternal and Infant Hospital Co.,Ltd.,Shenyang 110044,China)
出处
《中国实用医药》
2022年第27期119-121,共3页
China Practical Medicine
关键词
产褥期感染
病原菌
危险因素
Puerperal infection
Pathogenic bacteria
Risk factors
