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剖宫产术后感染性发病情况综述:如何预防与治疗

A review of post-caesarean infectious morbidity: how to prevent and treat.

作者信息

Pierson Rebecca C, Scott Nicole P, Briscoe Kristin E, Haas David M

机构信息

a Department of Obstetrics, Gynecology, and Women's Health , University of Louisville , Louisville , KY , USA.

b Department of Obstetrics and Gynecology , Indiana University , Indianapolis , IN , USA.

出版信息

J Obstet Gynaecol. 2018 Jul;38(5):591-597. doi: 10.1080/01443615.2017.1394281. Epub 2018 Feb 12.

Abstract

Post-caesarean infectious complications result in significant maternal morbidity and mortality as well as increased readmissions and increased health care cost worldwide. This review provides a discussion of several risk factors that have been identified which predispose women to post-surgical infection. We also provide an overview of strategies for infection prevention including antibiotics, surgical techniques and negative pressure wound therapy. Criteria for diagnosis of wound infection are provided, as well as appropriate treatment regimens. Given the impact of maternal post caesarean infection, it is important for women's health care providers to understand how to prevent these infections, as well as recognise and treat them.

摘要

剖宫产术后感染并发症在全球范围内导致了严重的产妇发病和死亡,以及再入院率增加和医疗保健成本上升。本综述讨论了已确定的使女性易发生术后感染的几个风险因素。我们还概述了感染预防策略,包括抗生素、手术技术和负压伤口治疗。提供了伤口感染的诊断标准以及适当的治疗方案。鉴于剖宫产术后感染对产妇的影响,女性医疗保健提供者了解如何预防这些感染以及识别和治疗它们非常重要。

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