产妇医院感染的相关因素分析及防治对策  

Risk Factors and Control Countermeasures of Puerperal Hospital Infection

作　　者：严育宏[1] 徐峰[1] 余勤俭[1] 张常乐[1] 

机构地区：[1]温州市第二人民医院妇产科,浙江温州325000

出　　处：《中华医院感染学杂志》2010年第23期3677-3678,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨产妇医院感染的相关因素及防治对策。方法采用回顾性调查方法对5年医院分娩产妇医院感染发生情况进行统计分析。结果产妇医院感染发生率1.02%,产妇医院感染发生部位位于前3位的是呼吸系统52.79%、手术切口21.32%、消化系统8.63%,剖宫产的医院感染率高于阴道手术分娩;营养不良、试产过久、多次阴道操作、胎膜早破、低经济状况、肥胖等均是医院感染的相关高危因素。结论产妇医院感染的相关因素很多,但科学的孕期保健和产后休养、娴熟的手术操作、恰当的产程处理、严格的感染管理、合理的抗菌药物使用是预防和控制产妇医院感染的关键。OBJECTIVE To investigate the infection factors and countermeasures of puerperal hospital infections.METHODS The cases of puerperal hospital infection in recent 5 years were analyzed by retrospective survey.RESULTS The rate of infection was 1.02%,the top three infections sites were respiratory system（52.79%）,surgical incision（21.32%） and digestive system（8.63%）.The infection rate of cesarean section was higher than delivery vagina operation.Malnutrition,prolonged labor,premature rupture of membrane,multiple vagina checks,bad economic conditions,obesity and so on were the risk factors of puerperal hospital infection.CONCLUSION There are many relevant factors of puerperal hospital infection,scientific prenatal care,postnatal recovery,aseptic operation,proper procedure of the labor,strict infection management,and reasonable use of antibiotics are the key to prevent and control the puerperal hospital infections.

关 键 词：产妇 医院感染 相关因素 防治对策 

分 类 号：R181.32[医药卫生—流行病学]