Tissot-Guerraz F, Moussy L, Agniel F, André A, Reverdy M E, Miellet C C, Audra P, Putet G, Sepetjan M, Dargent D
Service d'Hygiène et d'Epidémiologie Hospitalière, Hôpital Edouard-Herriot, Lyon.
J Gynecol Obstet Biol Reprod (Paris). 1990;19(1):19-24.
Hospital or nosocomial infection, or infection acquired in hospitals, is a health problem in all hospital departments and particularly in the maternity department. We report on a prospective survey of surveillance of hospital-acquired infections both from the mother and the baby's point of view after delivery vaginally or with caesarean carried out at the obstetrical clinic of the Edouard Herriot Hospital in Lyon (France) over three successive years with a series of 9,204 deliveries. The incidence of infection in women who were delivered without caesarean section was 1.37% when urinary tract infections had been excluded but 13% in women who had caesarean sections. Endometritis, skin infections and urinary tract infections were the leading causes. As far as the newborn were concerned, hospital infection ran at about 2.60% and this in the main was due to staphylococcal pustules in the skin. These figures are still too high and prevention should be based on more information given and more care taken by the whole staff of such a hospital.
医院感染或医院内感染，即在医院获得的感染，是所有医院科室尤其是产科的一个健康问题。我们报告了一项前瞻性监测调查，该调查从母亲和婴儿的角度，对法国里昂爱德华·赫里欧医院产科连续三年进行的9204例阴道分娩或剖宫产术后的医院获得性感染情况进行了监测。在排除尿路感染后，未行剖宫产的产妇感染发生率为1.37%，而行剖宫产的产妇感染发生率为13%。子宫内膜炎、皮肤感染和尿路感染是主要原因。就新生儿而言，医院感染发生率约为2.60%，主要是由于皮肤葡萄球菌脓疱病。这些数字仍然过高，预防措施应基于医院全体工作人员提供更多信息并更加谨慎。
