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目的研究剖宫产手术后医院感染高发部位和相关因素,探讨有效应对策略。方法对医院2008年5月-2013年9月期间监测1692例实施剖宫产手术产妇的调查资料进行回顾性总结分析。结果 1692例剖宫产手术产妇19例发生医院感染,占1.12%,感染部位依次是泌尿道、手术部位、上呼吸道、胃肠道、下呼吸道、血液系统多重耐药菌医院感染率较高。结论剖宫产手术后特别是急诊剖宫产手术后医院感染应重点预防和控制泌尿道感染和手术部位感染;关注手术部位金黄色葡萄球菌感染,关注医院多重耐药菌感染。
Objective To study the high incidence of nosocomial infections after cesarean section and related factors and to explore effective strategies. Methods A retrospective analysis was conducted on the survey data of 1692 women undergoing cesarean section during the period from May 2008 to September 2013 in the hospital. Results Among the 1692 cases, nosocomial infections occurred in 19 cases of cesarean section, accounting for 1.12%. The infection sites were urinary tract, surgical site, upper respiratory tract, gastrointestinal tract, lower respiratory tract and blood system. Conclusion After cesarean section surgery, especially emergency cesarean section hospital infection should focus on prevention and control of urinary tract infections and surgical site infections; attention to the surgical site of Staphylococcus aureus infection, pay attention to the hospital multi-drug resistant bacteria infection.