Axelsson Daniel, Blomberg Marie
Department of Obstetrics and Gynecology and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden; Ryhov County Hospital, Jönköping, Sweden.
Acta Obstet Gynecol Scand. 2014 Oct;93(10):1065-8. doi: 10.1111/aogs.12455. Epub 2014 Aug 16.
We investigated the prevalence of postpartum infections among women giving birth during 1 year in a population-based observational/questionnaire study at seven hospitals in the southeast region of Sweden. Of the women >99% (n = 11,124) received a questionnaire to inquire if they had endometritis, mastitis, or wound, urinary tract or any other infection within 2 months postpartum and whether they received antibiotics for this. Prevalence rates for infections and antibiotic treatment were estimated. The response rate was 60.1%. At least one infectious episode was reported by 10.3% of the women and 7.5% had received antibiotics. The prevalence for infections with and without antibiotics were, respectively, mastitis 4.7% and 2.9%, urinary tract infection 3.0% and 2.4%, endometritis 2.0% and 1.7%, wound infection 1.8% and 1.2%. There was no inter-county difference in infection prevalence. Clinical postpartum infections in a high-resource setting are relatively common.
在瑞典东南部地区的七家医院开展的一项基于人群的观察性/问卷调查研究中,我们调查了一年内分娩女性产后感染的患病率。超过99%(n = 11124)的女性收到了一份问卷,询问她们在产后2个月内是否患有子宫内膜炎、乳腺炎、伤口感染、尿路感染或任何其他感染,以及是否为此接受了抗生素治疗。对感染率和抗生素治疗率进行了估算。回复率为60.1%。10.3%的女性报告至少有一次感染发作,7.5%的女性接受了抗生素治疗。使用和未使用抗生素的感染患病率分别为:乳腺炎4.7%和2.9%,尿路感染3.0%和2.4%,子宫内膜炎2.0%和1.7%,伤口感染1.8%和1.2%。感染患病率在不同县之间没有差异。在资源丰富的环境中,临床产后感染相对常见。