Rouzic N, Faisant M, Scheydeker J-L, Collet M, Lejeune B
Service de santé publique, évaluation et hygiène hospitalière, CHU Morvan, 2, avenue Foch, 29609 Brest cedex, France.
Pathol Biol (Paris). 2008 Mar;56(2):58-65. doi: 10.1016/j.patbio.2007.09.028. Epub 2008 Mar 26.
Hospital infections are at stake in terms of public health. They are responsible for increase in morbidity and involve the community in high costs. Epidemiologic surveillance has been initiated in the departments of gynecology, obstetrics and maternity with a view to making out the rate of hospital-acquired infections and the risk factors associated to them. It is an incidence survey over a period from 2000 to 2005. Surveillance slips are filled in for every childbirth. All suspicions of hospital infections are analysed in morbidity reviews every trimester. A request to the Medical Information Department of the hospital has allowed to look for variables which were not mentioned on the initial questionnaire and so carry out a more complete analysis. The number of hospital infections amounts to 118 over 9526 childbirths, corresponding to an incidence rate of 1.24%. After vaginal delivery the encountered risk factors are: episiotomy or perineal trauma, epidural anesthesia, urinary infection and the use of tools. After a caesarean section the risk factors are: general anesthesia and lack of antibioprophylaxy. The rate of hospital infections in the maternity department at Brest's centre hospitalier universitaire (CHU) during the considered period and the observed tendency to a decreasing of hospital infections over the same period apparently denotes the interest of surveillance in matter of hospital infections in maternity.
医院感染关乎公共卫生。它们会导致发病率上升，并使社会承担高昂成本。布雷斯特大学中心医院（CHU）的妇产科和产科已启动流行病学监测，旨在确定医院获得性感染率及其相关危险因素。这是一项对2000年至2005年期间进行的发病率调查。每次分娩都要填写监测表。每三个月在发病率评估中分析所有医院感染疑似病例。向医院医学信息部提出申请后，得以查找初始问卷中未提及的变量，从而进行更全面的分析。在9526例分娩中，医院感染病例数为118例，发病率为1.24%。经阴道分娩后，发现的危险因素有：会阴切开术或会阴创伤、硬膜外麻醉、尿路感染及使用器械。剖宫产术后的危险因素有：全身麻醉和缺乏抗生素预防。在所考虑的时期内，布雷斯特大学中心医院产科的医院感染率以及同期医院感染呈下降趋势，这显然表明了对产科医院感染监测的重要性。
