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[布基纳法索亚尔加杜·韦德拉奥果大学医院剖宫产术后的顶叶脓肿:流行病学、临床、治疗及预后方面]

[Parietal suppurations after cesarean section at the Yalgado Ouédraogo University Hospital, Burkina Faso: epidemiological clinical, therapeutic and prognostic aspects].

作者信息

Sawadogo Yobi Alexis, Komboigo Evelyne, Kiemtore Sibraogo, Zamane Hyacinthe, Ouedraogo Issa, Kain Dantola Paul, Toure Boubakar, Ouedraogo Charlemagne, Ouedraogo Ali, Thieba Blandine

机构信息

Unité de Formation et de Recherche en Science de la Santé Université Ouaga I Pr Joseph KI-ZERBO, Gynécologue Obstétricien, Burkina Faso.

Département de Gynécologie Obstétrique, CHU Yagaldo Ouédraogo, Ouagadougou, Burkina-Faso.

出版信息

Pan Afr Med J. 2019 Jan 18;32:35. doi: 10.11604/pamj.2019.32.35.17167. eCollection 2019.

Abstract

Surgical site infections are frequent in developing countries. Cesarean section is one of the most common surgery among women in the world. This study aims to analyse the epidemiological, clinical, therapeutic and prognostic aspects of parietal suppurations after cesarean section in the Department of Gynecology and Obstetrics at the Yalgado Ouédraogo University Hospital in order to reduce their occurrence. We conducted a descriptive cross-sectional study over a period of 6 months, from 1 April 2015 to 30 September 2015. Out of 1998 cases of cesarean section, seventy patients had parietal suppurations, corresponding to an incidence of 3.5%. The average age of patients was 26.2 ± 6.1 years; the patients were predominantly housewives (77%). Emergency cesarean section was performed in all patients. Suppuration was mainly diagnosed in the 1st week (60%). Staphylococcus aureus was detected in 37.8% of cases. Second abdominal wall surgery was necessary in 34.3% of cases. Outcome was favorable in all patients. Parietal suppuration after cesarean is common. Second surgery is sometimes necessary. Further studies should be conducted to better identify factors favoring this disease in order to significantly reduce their incidence and therefore improve maternal prognosis.

摘要

手术部位感染在发展中国家很常见。剖宫产是全球女性中最常见的手术之一。本研究旨在分析亚尔加杜·韦德拉奥果大学医院妇产科剖宫产术后腹壁脓肿的流行病学、临床、治疗及预后情况,以减少其发生。我们于2015年4月1日至2015年9月30日进行了为期6个月的描述性横断面研究。在1998例剖宫产病例中,70例患者发生了腹壁脓肿,发病率为3.5%。患者的平均年龄为26.2±6.1岁;患者主要为家庭主妇(77%)。所有患者均行急诊剖宫产。脓肿主要在第1周被诊断出(60%)。37.8%的病例检测到金黄色葡萄球菌。34.3%的病例需要进行二次腹壁手术。所有患者预后良好。剖宫产术后腹壁脓肿很常见。有时需要进行二次手术。应进一步开展研究,以更好地识别导致该病的因素,从而显著降低其发病率,进而改善产妇预后。

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