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剖宫产术后手术部位感染的发生率及危险因素

The Incidence and Risk Factors of Surgical Site Infection Following Cesarean Section.

作者信息

Alruwaili Hind Ghannam, Almutairi Wedad M, Abunar Areej A

机构信息

Obstetrics and Gynecology Nursing, King Saud University Medical City, Riyadh, Saudi Arabia.

Obstetrics and Gynecology Nursing, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

Nurs Res Pract. 2025 May 28;2025:4980949. doi: 10.1155/nrp/4980949. eCollection 2025.

DOI:10.1155/nrp/4980949
PMID:40469219
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12136862/
Abstract

The incidence of surgical site infection (SSI) following cesarean section (CS) is between 3% and 15% worldwide. There is a paucity of evidence regarding the incidence and risk factors of SSI following CS in Saudi Arabia. Globally, infection is the third greatest cause of maternal deaths. There are many risk factors associated with SSI post-CS such as age, previous history of CS, medical diseases, and a high number of vaginal examinations. A cross-sectional prospective descriptive study among women who underwent CS. Gynecology and obstetrics clinics in a maternity and children's hospital. A convenience sample of 124 mothers within 30 days after CS was used; data were collected from July 2021 to August 2021. This study found that the incidence of SSI after CS was 4% of the mothers who underwent CS operations in the Maternity and Children Hospital in Sakaka. Besides, the results showed that there is a significant association between the type of anesthesia (spinal) and SSI following CS (Chi = 4.288, ≤ 0.05). To conclude that the incidence of SSI following CS was 4%, comparable to the international rate, and spinal anesthesia was the confirmed risk factor in our sample. Further studies should be carried out with larger samples and in more than one hospital in Sakaka, Saudi Arabia.

摘要

剖宫产术后手术部位感染(SSI)在全球范围内的发生率为3%至15%。关于沙特阿拉伯剖宫产术后SSI的发生率和危险因素的证据很少。在全球范围内,感染是孕产妇死亡的第三大原因。剖宫产术后发生SSI有许多危险因素,如年龄、既往剖宫产史、内科疾病以及多次阴道检查。对接受剖宫产的女性进行了一项横断面前瞻性描述性研究。研究地点为一家妇幼医院的妇产科诊所。采用便利抽样法,选取了124名剖宫产术后30天内的母亲;数据收集时间为2021年7月至2021年8月。该研究发现,在萨卡卡妇幼医院接受剖宫产手术的母亲中,SSI的发生率为4%。此外,结果显示麻醉方式(脊髓麻醉)与剖宫产术后SSI之间存在显著关联(卡方值=4.288,P≤0.05)。得出结论,剖宫产术后SSI的发生率为4%,与国际发生率相当,脊髓麻醉是我们样本中确定的危险因素。应在沙特阿拉伯萨卡卡的多家医院使用更大的样本进行进一步研究。

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本文引用的文献

1
Risk Factors Associated with Surgical Site Infection following Cesarean Section in Tertiary Care Hospital, Nepal.尼泊尔三级护理医院剖宫产术后手术部位感染的相关危险因素
Int J Reprod Med. 2022 May 16;2022:4442453. doi: 10.1155/2022/4442453. eCollection 2022.
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Identifying the Risk Factors Associated with Surgical Site Infection Following Cesarean Section in Adolescent Mothers.识别青少年母亲剖宫产术后手术部位感染相关的危险因素。
J Pediatr Adolesc Gynecol. 2022 Aug;35(4):472-477. doi: 10.1016/j.jpag.2021.12.021. Epub 2022 Jan 11.
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Incidence, risk factors and management of post cesarean section surgical site infection (SSI) in a tertiary hospital in Egypt: a five year retrospective study.埃及一家三级医院剖宫产术后手术部位感染(SSI)的发生率、危险因素和处理:一项五年回顾性研究。
BMC Pregnancy Childbirth. 2021 Sep 18;21(1):634. doi: 10.1186/s12884-021-04054-3.
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The Socioeconomic Impact of Surgical Site Infections.手术部位感染的社会经济影响。
Front Public Health. 2021 Aug 4;9:712461. doi: 10.3389/fpubh.2021.712461. eCollection 2021.
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Incidence and Risk Factors for Surgical Site Infection following Emergency Cesarean Section: A Retrospective Case-Control Study.紧急剖宫产术后手术部位感染的发生率及危险因素:一项回顾性病例对照研究。
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Post cesarean section surgical site infection and associated factors among women who delivered in public hospitals in Harar city, Eastern Ethiopia: A hospital-based analytic cross-sectional study.在埃塞俄比亚东部哈拉尔市公立医院分娩的女性中,剖宫产术后手术部位感染及其相关因素:一项基于医院的分析性横断面研究。
PLoS One. 2021 Jun 23;16(6):e0253194. doi: 10.1371/journal.pone.0253194. eCollection 2021.
7
Magnitude and factors associated with surgical site infection among mothers underwent cesarean delivery in Nekemte town public hospitals, western Ethiopia.在埃塞俄比亚西部 Nekemte 镇公立医院行剖宫产术的产妇中,手术部位感染的严重程度及其相关因素。
PLoS One. 2021 Apr 27;16(4):e0250736. doi: 10.1371/journal.pone.0250736. eCollection 2021.
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Determinants of post cesarean section surgical site infection at public hospitals in Dire Dawa administration, Eastern Ethiopia: Case control study.埃塞俄比亚东部迪雷达瓦行政区公立医院剖宫产术后手术部位感染的影响因素:病例对照研究
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9
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Cureus. 2020 Dec 19;12(12):e12164. doi: 10.7759/cureus.12164.
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Incidence and predictors of surgical site infection following cesarean section in North-west Ethiopia: a prospective cohort study.在埃塞俄比亚西北部,剖宫产术后手术部位感染的发生率和预测因素:一项前瞻性队列研究。
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