Puerperal infections are of great importance also under the conditions of modern obstetrics. There is a close connection with the problematic nature of hospitalism. The prospective study from 1,409 patients shows a puerperal fever at a percentage of 32.1%. Only 19.0% of the patients meet the criteria of a "standard puerperal morbidity". Within the complications occurring during the childbed period subinvolutio uteri holds the first place with 16.3%. The incidence of puerperal infections is influenced by predisposing factors dominated by the mode of accouchement. Ampicillin and chloramphenicol are the most used antibiotics. The preventive and therapeutic application of antibiotics is discussed. In the experimental part of the study the settlement of the vagina, the cervix, and the amniotic fluid is analysed. The evidence of causative organism for oxybiontic pathogenes partly also for anoxybiontic pathogenes and fungi is made. The fight against puerperal infections is particularly based on preventive measures. There must be mentioned a strict consideration of the antisepsis and asepsis as well as the restriction of predisposing factors. Under this precondition the wellaimed and indicated application of a therapy based on antibiotics will be successful.
在现代产科学的背景下,产褥感染也具有重要意义。它与医院感染问题密切相关。对1409例患者的前瞻性研究显示,产褥热发生率为32.1%。只有19.0%的患者符合“标准产褥病率”标准。在产褥期出现的并发症中,子宫复旧不全占首位,为16.3%。产褥感染的发生率受以分娩方式为主的易感因素影响。氨苄青霉素和氯霉素是最常用的抗生素。文中讨论了抗生素的预防性和治疗性应用。在研究的实验部分,分析了阴道、宫颈和羊水的菌落情况。确定了需氧菌病原体、部分厌氧菌病原体和真菌的致病微生物。对抗产褥感染尤其要基于预防措施。必须严格考虑防腐和无菌以及限制易感因素。在此前提下,有针对性且合理地应用基于抗生素的治疗将会取得成功。