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妇产科剖宫产术后手术部位感染:一项描述性横断面研究。

Postoperative Surgical Site Infection among Patients with Caesarean Delivery in the Department of Obstetrics and Gynaecology in a Tertiary Care Centre: A Descriptive Cross-sectional Study.

机构信息

Department of Obstetrics and Gynaecology, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal.

Nepal Medical college and Teaching Hospital, Jorpati, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2023 Jun 1;61(262):526-530. doi: 10.31729/jnma.8185.

Abstract

INTRODUCTION

Surgical site infections are the commonest nosocomial infections following surgeries. They not only increase the morbidity and mortality following surgeries but also have a great impact both psychologically and financially. The aim of this study was to find out the prevalence of postoperative surgical site infection among patients with caesarean delivery in the Department of Obstetrics and Gynaecology in a tertiary care centre.

METHODS

This descriptive cross-sectional study was conducted in the Department of Obstetrics and Gynaecology of a tertiary care centre after taking ethical approval from the Institutional Review Committee (Reference number: 495(6-11)E2 077/078). Data from 1 July 2021 to 1 July 2022 were collected between 1 September 2022 to 30 November 2022 from the hospital records. All the pregnant women undergoing caesarean delivery during the study period were included. Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated.

RESULTS

Out of 1326 patients who underwent caesarean delivery, surgical site infection was seen in 38 (2.86%) (1.96-3.76, 95% Confidence Interval). Among 38 women, anaemia was seen in 11 (28.94%), diabetes mellitus in 6 (15.79%) and hypertension in 5 (13.16%).

CONCLUSIONS

The prevalence of surgical site infection following caesarean delivery was found to be lower than other studies done in similar settings.

KEYWORDS

hypertension; prevalence; surgical site infection.

摘要

介绍

手术后部位感染是手术后最常见的医院获得性感染。它们不仅增加了手术后的发病率和死亡率,而且在心理和经济上都有很大的影响。本研究旨在调查三级保健中心妇产科行剖宫产术患者术后手术部位感染的发生率。

方法

本研究为描述性横断面研究,在获得机构审查委员会(参考编号:495(6-11)E2 077/078)的伦理批准后,在三级保健中心的妇产科进行。数据收集时间为 2022 年 9 月 1 日至 2022 年 11 月 30 日,收集对象为 2021 年 7 月 1 日至 2022 年 7 月 1 日期间在该院行剖宫产术的所有孕妇。采用便利抽样法。计算点估计值和 95%置信区间。

结果

在 1326 例行剖宫产术的患者中,有 38 例(2.86%)(1.96-3.76,95%置信区间)发生手术部位感染。在 38 名女性中,贫血 11 例(28.94%),糖尿病 6 例(15.79%),高血压 5 例(13.16%)。

结论

与类似环境下进行的其他研究相比,剖宫产术后手术部位感染的发生率较低。

关键词

高血压;流行;手术部位感染。

相似文献

本文引用的文献

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Surgical site infections in gynecology.妇科手术部位感染
Obstet Gynecol Surv. 2014 Aug;69(8):501-10. doi: 10.1097/OGX.0000000000000102.
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Risk factors for infection following cesarean delivery: an interventional study.剖宫产术后感染的危险因素:一项干预性研究。
J Matern Fetal Neonatal Med. 2012 Dec;25(12):2708-12. doi: 10.3109/14767058.2012.705394. Epub 2012 Jul 20.
10
Risk of cesarean wound complications in diabetic gestations.糖尿病妊娠中剖宫产伤口并发症的风险。
Am J Obstet Gynecol. 2004 Sep;191(3):958-63. doi: 10.1016/j.ajog.2004.05.063.

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