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阿联酋教学医院剖宫产术后手术部位感染:发生率及相关因素。

Surgical site infections following caesarean sections at Emirati teaching hospital: Incidence and implicated factors.

机构信息

Department of Biopharmaceutics & Clinical Pharmacy, College of Pharmacy, Al-Ahliyya Amman University, P. O. Box 19328, Amman, Jordan.

Department of Clinical Pharmacy, College of Pharmacy, Al Ain University, Al Ain, United Arab Emirates.

出版信息

Sci Rep. 2020 Oct 30;10(1):18702. doi: 10.1038/s41598-020-75582-9.

Abstract

The rate of delivery by caesarean sections is increasing globally and, therefore, the incidence of post-caesarean surgical site infections (SSIs) is probably also going to rise. The aim of the present study was to determine the incidence of SSIs after caesarean operations and to explore the factors associated with an increased risk of post-caesarean SSIs. A retrospective study was performed to assess all women who underwent caesarean sections from January 2016 to December 2017 at Al Ain Hospital in the United Arab Emirates (UAE). Backward multivariate logistic regression analysis was utilized to specify the variables that were significantly and independently connected with the development of post-caesarean SSIs. In total, 807 women underwent caesarean deliveries at the study site hospital during the two-year study period (January 2016-December 2017). Post-operative SSI was detected in 11 (1.4%) of the women who underwent caesarean operations. Of these, 11 (100%) women were diagnosed post-discharge, within 30 days after the date of the surgery. Multivariate logistic regression analysis showed that increased gestational age (P = 0.045) was significantly and independently associated with the development of post-caesarean SSI. Increased gestational age was found to be an independent predictor of post-caesarean SSIs. This identified risk factor should inform targeted health care policies to reduce the rate of SSIs.

摘要

全球剖宫产率不断上升,因此,剖宫产术后手术部位感染(SSI)的发生率可能也会上升。本研究旨在确定剖宫产术后 SSI 的发生率,并探讨与剖宫产术后 SSI 风险增加相关的因素。本研究采用回顾性研究方法,评估了 2016 年 1 月至 2017 年 12 月期间在阿拉伯联合酋长国艾因医院接受剖宫产术的所有女性。采用向后逐步多变量逻辑回归分析,确定与剖宫产术后 SSI 发生显著相关的独立变量。在为期两年的研究期间(2016 年 1 月至 2017 年 12 月),共有 807 名妇女在研究地点医院接受了剖宫产术。在接受剖宫产术的妇女中,有 11 名(1.4%)发生术后 SSI。其中,11 名(100%)妇女在手术后 30 天内出院后被诊断出患有 SSI。多变量逻辑回归分析显示,胎龄增加(P=0.045)与剖宫产术后 SSI 的发生显著相关。胎龄增加被认为是剖宫产术后 SSI 的独立预测因子。这一确定的危险因素应告知针对性的医疗保健政策,以降低 SSI 的发生率。

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