Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland.
Chair of Epidemiology and Preventive Medicine, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland.
Eur J Public Health. 2020 Aug 1;30(4):739-743. doi: 10.1093/eurpub/ckaa080.
The article analyzes hospitalizations of women in the postpartum period in the Małopolska Province. Re-hospitalization of women as a result of puerperal complications may be used as an infection control quality measure in this patient population.
It was a population-based, retrospective analysis using data obtained from the Polish National Health Fund (paying for medical services, financed by all Polish employees contributing 9% of their salaries), collected routinely in 2013-14. The analysis encompassed 29 hospitals and 68 894 childbirths.
In total, 1.7% of women were re-hospitalized and 563 of these re-hospitalizations (0.8%) were due to infection. Re-hospitalizations due to infections were significantly more often recorded among women who lived in villages compared with inhabitants of towns (OR 1.6, 95% CI 1.23-1.98; P < 0.001) and in women giving birth in primary referral hospitals in comparison with the second referral or clinical hospitals (OR 2.8, 95% CI 1.69-4.65; P < 0.001). On the one hand, the results of the study indicate that, in patients giving birth, the infection control system is not sensitive enough, and on the other hand, more detailed studies need to cover primary referral hospitals, specifically.
The problem of the infection-associated hospitalizations in the postpartum period is not reliably assessed by infection control professionals and constitutes a challenge for surveillance, including prevention and control. Complications associated with childbirth should be an indication of the quality of healthcare provision and knowledge of the scale of the problem should be the basis for its evaluation and prevention. This is especially true for infections in puerperas.
本文分析了波兰小波兰省产后住院的女性情况。对因产褥期并发症而再次住院的女性可作为该人群感染控制质量的衡量标准。
这是一项基于人群的回顾性分析，使用了波兰国家健康基金（支付医疗服务费用，由所有缴纳工资 9%的波兰员工资助）在 2013-14 年收集的常规数据。该分析共涉及 29 家医院和 68894 例分娩。
共有 1.7%的女性再次住院，其中 563 例（0.8%）是因感染导致的。与居住在城镇的女性相比，居住在村庄的女性（比值比 1.6，95%置信区间 1.23-1.98；P<0.001）和在一级转诊医院分娩的女性（比值比 2.8，95%置信区间 1.69-4.65；P<0.001）再次住院的感染风险更高。一方面，研究结果表明，在分娩患者中，感染控制系统不够敏感，另一方面，需要更详细的研究来覆盖一级转诊医院。
感染相关的产后住院问题未得到感染控制专业人员的可靠评估，这对监测（包括预防和控制）构成了挑战。与分娩相关的并发症应作为医疗服务质量的指标，而对问题规模的了解应作为其评估和预防的基础。对于产褥期感染尤其如此。
