摘要
目的：分析产后出血患者发生院内感染的危险因素及常见病原菌分布情况，为降低产后出血患者感染发生率提供依据。方法选取富阳市妇幼保健院产科2012年1月至2013年12月收治的产后出血患者134例，观察患者感染发生率，并对的临床资料进行病原菌单因素和多因素Logistic回归分析，观察感染的危险因素，并对感染患者的血液进行分析，观察患者常见病原菌分布情况。结果134例中产褥感染42例占31.34％，产科切口感染4例占2.99％；对患者的临床资料进行单因素分析发现，高龄产妇、高危孕产妇、助产或剖宫产、侵入性诊疗、住院时间是导致患者发生感染的危险因素，经Logistic回归分析发现，高危孕产妇、助产或剖宫产、侵入性诊疗、住院时间长是发生感染的独立危险因素；46例感染患者共检出52株病原菌，以革兰阳性菌多见（28株），其中金黄色葡萄球菌15例，占28.85％，革兰阴性菌（22株）以大肠埃希菌为主，共检出11株，占21.15％。结论产后出血感染患者常见病原菌以革兰阳性菌居多，其中高危孕产妇、助产或剖宫产、侵入性诊疗、住院时间长是发生感染的独立危险因素，临床医师在关注出血的同时，需注意感染的发生。
Objective To analyze the risk factors of nosocomial infection in patients with postpartum hemorrhage and the distribution of common pathogens, and to provide basis for reducing the infection incidence in patients with postpartum hemorrhage.Methods 134 patients with postpartum hemorrhage admitted from Jan. 2011 to Dec.2013 in our hospital were studied.The incidence of infection was observed in patients, and clinical data of patients were analyzed by univariate and multivariate Logistic regression.The risk factors of infection were was observed and blood samples from infected patients were analyzed to observe the distribution of common patho-gens.Results Among the 134 cases, 42 cases had puerperal infection, accounting for 31.34%, and 4 cases had obstetric wound infection, accounting for 2.99%.Univariate analysis showed that advanced maternal age, high-risk pregnant women, midwifery or cesarean section, invasive treatment, and long hospital stay were risk factors for infection.Logistic regression analysis showed that high-risk pregnant women, midwifery or cesarean section, invasive treatment, and long hospital stay were independent risk factors for infection.52 pathogens were detected from 46 patients.28 Gram-positive bacteria were identified, of which 15 cases of were staphylococcus aureus, accounting for 28.85%and 22 Gram-negative bacteria were identified, of which 11 were escherichia co-li, accounting for 21.15%.Conclusions Gram-positive bacteria are the majority in patients with postpartum hemorrhage and infection.High-risk pregnant women, midwifery or cesarean section, invasive treatment, and long hospital stay are independent risk factors for infection.Puerperal infection also need to be noted when post-partum hemorrhage occurs.
出处
《中华内分泌外科杂志》
CAS
2015年第3期223-226,共4页
Chinese Journal of Endocrine Surgery
关键词
产后出血
院内感染
病原菌
Postpartum hemorrhage
Nosocomial infection
Pathogens
