综合医院产妇医院感染的调查与分析  

Puerperal infections in a general hospital

作　　者：刘悦新[1] 李绮薇[1] 尹仲娇[1] 高玲玲[2] 肖美玲[1] 刘大钺[3] 

机构地区：[1]中山大学附属第一医院妇产科,广东广州510080 [2]中山大学护理学院,广东广州510080 [3]中山大学附属第一医院感染管理科,广东广州510080

出　　处：《中华医院感染学杂志》2012年第20期4536-4537,4638,共3页Chinese Journal of Nosocomiology

基　　金：广东省科技计划项目(2008A030201029)

摘　　要：目的探讨综合医院产妇医院感染的现状及相关因素,为临床控制医院感染提供依据。方法采用回顾性调查方法对2008-2011年产妇医院感染发生情况进行统计分析。结果 4年内共有13 408例产妇分娩,发生医院感染37例,感染率为0.28%;感染前3位的是会阴侧切术引起的切口感染、剖宫产术后的切口感染、上呼吸道感染,分别占27.03%、16.22%、16.22%;24例剖宫产产妇发生医院感染,其中切口感染6例,其他部位的感染18例,剖宫产产妇发生其他部位的医院感染明显高于阴道分娩产妇,差异有统计学意义(χ2=9.578,P<0.01);医院感染多发生于第一～三季度,第四季度少见,与南方春季呼吸道感染多,夏、秋季炎热潮湿容易发生切口感染有关。结论产妇医院感染的相关因素很多,科学的围产期保健、严格无菌操作和感染管理等是预防和控制产妇医院感染的关键。OBJECTIVE To investigate the current status and related factors for puerperal infections in a general hospital so as prouide basis for clinical control of nosocomial infections.METHODS By means of retrospective survey,the patients with puerperal infections in 2008-2011 were analyzed statistically.RESULTS There were totally 13 408 pregnant women with delivery,nosocomial infections occurred in 37 patients with the infection rate of 0.28%;the incision infections,post cesarean section incision infections,and upper respiratory tract infections were the top three caused by episiotomy,accounting for 27.03%,16.22%,and 16.22%,respectively;among 24 pregnant women with nosocomial infections undergoing cesarean section,there were 6 cases of incision infections and 18 cases of other sites infections,the incidence of other sites infections significantly higher in the pregnant women undergoing cesarean section than vaginal delivery,the difference was statistically significant(χ2=9.578,P<0.01).;the nosocomial infections occurred frequently in the first,second and third quarter,less frequently in the fourth quarter,which was related to the respiratory tract infections in the spring of the southern part and the hot and humid weather of the summer and autumn.CONCLUSION There are many factors related to the puerperal infections,the scientific perinatal care,strict aseptic operation and the infection management are crucial to the prevention and control of puerperal hospital infections.

关 键 词：产妇 医院感染 调查 

分 类 号：R181.32[医药卫生—流行病学]