Department of Obstetrics and Gynecology, The Ohio State University Hospital, Columbus, Ohio.
Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Am J Perinatol. 2020 May;37(6):557-561. doi: 10.1055/s-0039-1700861. Epub 2019 Nov 22.
This study aimed to determine if intrapartum placement of an intrauterine pressure catheter (IUPC) is associated with an increased rate of surgical site infections in women undergoing a cesarean delivery.
This was a secondary analysis of the prospective observational Maternal-Fetal Medicine Units Network Vaginal Birth after Cesarean Registry. We compared patients with and without IUPC use. A multivariable logistic regression was performed to evaluate for an association between IUPC use and postcesarean surgical site infections.
The study included 16,887 women: 7,441 with IUPC use and 9,446 without IUPC use. After adjustment for potential cofounders, IUPC use was associated with an increased risk of postcesarean infections compared with those without IUPC use (adjusted odds ratio: 1.28; 95% confidence interval: 1.10-1.50; = 0.002).
IUPC use is associated with an increased risk of postcesarean surgical site infections. This supports the judicious use of IUPC for limited clinical indications and provides a potential area of focus for reduction in postcesarean infections.
本研究旨在确定在剖宫产术中放置宫腔内压力导管（IUPC）是否与手术部位感染率增加有关。
这是对前瞻性观察性母体胎儿医学单位网络剖宫产术后阴道分娩登记处的二次分析。我们比较了使用和不使用 IUPC 的患者。进行多变量逻辑回归分析，以评估 IUPC 使用与剖宫产术后手术部位感染之间的关联。
这项研究纳入了 16887 名女性：7441 名使用 IUPC，9446 名未使用 IUPC。在调整潜在混杂因素后，与未使用 IUPC 的女性相比，使用 IUPC 与剖宫产术后感染的风险增加相关（调整后的优势比：1.28；95%置信区间：1.10-1.50；=0.002）。
IUPC 的使用与剖宫产术后手术部位感染的风险增加相关。这支持在有限的临床适应证下合理使用 IUPC，并为减少剖宫产术后感染提供了一个潜在的重点领域。
