约旦择期剖宫产术的伤口感染发生率与肥胖的关系
Wound Infection Incidence and Obesity in Elective Cesarean Sections in Jordan.
机构信息
Jordanian Royal Medical Services/ Army Forces, Amman, Jordan.
School of Nursing; The University of Jordan, Amman, Jordan.
出版信息
Med Arch. 2021 Apr;75(2):138-143. doi: 10.5455/medarh.2021.75.138-143.
BACKGROUND
Wound infection is a challenge that face healthcare facilities.
OBJECTIVE
The aim of the study was to assess the effect of obesity on wound infection incidence.
METHODS
A prospective study involved 127 patients underwent elective Cesarean section surgeries in the first ten months of 2018 with a follow up period of 90 days.
RESULTS
The wound infection incidence was 37.8%; the suture infection was 15.7% and SSI was 22%, which divided into: the superficial SSI among 23 (82.1%) patients, and deep tissue SSI among five (17.9%) patients. Obese patients with BMI of 30 kg/m2 or more were significantly at higher risk for wound infections than those whose BMI less than 30 kg/m2 (p= 0.02, relative risk= 2.363).
CONCLUSION
Obese patients who underwent Cesarean sections were found to have higher risk to develop wound infections. A larger scale study is needed to determine other associated risk factors.
背景
伤口感染是医疗机构面临的挑战。
目的
本研究旨在评估肥胖对伤口感染发生率的影响。
方法
前瞻性研究纳入了 2018 年头 10 个月接受择期剖宫产手术的 127 名患者，随访期为 90 天。
结果
伤口感染发生率为 37.8%；缝线感染率为 15.7%，手术部位感染率为 22%，其中分为：浅层手术部位感染 23 例（82.1%），深层组织手术部位感染 5 例（17.9%）。BMI 为 30kg/m2 或以上的肥胖患者发生伤口感染的风险明显高于 BMI 小于 30kg/m2 的患者（p=0.02，相对风险=2.363）。
结论
剖宫产肥胖患者发生伤口感染的风险较高。需要更大规模的研究来确定其他相关的危险因素。
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