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目的探讨产妇医院感染的临床特点及相关因素。方法对我院产科病房2010年1月至2011年5月出院的8 133例产妇发生医院感染的情况进行回顾性调查分析。结果产妇发生医院感染48例,感染发生率为0.59%;感染部位前3位是上呼吸道、下呼吸道和剖宫产切口,构成比分别为29.17%,22.91%,22.91%;剖宫产产妇医院感染发生率明显高于顺产产妇(P<0.01);有妊娠合并症的产妇医院感染发生率明显高于无合并症的产妇(P<0.01)。结论产科病房应加强空气的流通和消毒,掌握剖宫产指征,严格无菌操作,积极治疗合并症,从而降低医院感染的发生。
Objective To investigate the clinical characteristics and related factors of maternal nosocomial infection. Methods A retrospective analysis was conducted on the prevalence of nosocomial infections in 8 133 maternal patients discharged from obstetric ward in our hospital from January 2010 to May 2011. Results 48 cases of nosocomial infection occurred and the incidence of infection was 0.59%. The top three sites of infection were upper respiratory tract, lower respiratory tract and cesarean section, with the proportions of 29.17%, 22.91% and 22.91%, respectively. Cesarean section maternal hospital The incidence of infection was significantly higher than that of cesarean section (P <0.01). The incidence of nosocomial infection in pregnant women with complication of pregnancy was significantly higher than that of non-complication (P <0.01). Conclusion Obstetric ward should strengthen the circulation of air and disinfection, cesarean section indications, strict aseptic operation, aggressive treatment of complications, thereby reducing the incidence of nosocomial infections.