Ibeziako P A, Scott-Emuakpor M B, Ayeni O
J Trop Med Hyg. 1977 Dec;80(12):238-42.
The results of a prospective survey of post-operative wound sepsis following obstetrical and gynaecological laparotomies at the University College Hospital, Ibadan, Nigeria are presented. The overall wound sepsis rate was 20.2 per cent, but the corresponding rates in the gynaecological, primary obstetrical and repeat obstetrical cases were 14.9 per cent, 7.0 per cent and 29.9 per cent respectively. Statistical tests indicate that these rates differ significantly. The rate among the gynaecological cases did not differ significantly from the primary obstetrical cases, but that of the repeat obstetrical cases was significantly higher than those of the other two groups. The poorer wound healing in the repeat obstetrical laparotomies is thought to be due to poor blood supply. The variables that correlated significantly with wound sepsis rate were: pre-operative anaemia, number of medical students in theatre, antibiotic chemoprophylaxis and excision of previous scar in repeat laparotomies. The commonest organism involved in the wound sepsis was staph pyogenes. The wound sepsis rate obtained in this survey was high and various preventive measures are discussed.
本文呈现了在尼日利亚伊巴丹大学学院医院对妇产科剖腹手术后伤口感染进行的前瞻性调查结果。总体伤口感染率为20.2%，但妇科、初产妇和经产妇病例的相应感染率分别为14.9%、7.0%和29.9%。统计检验表明这些比率有显著差异。妇科病例的感染率与初产妇病例无显著差异，但经产妇病例的感染率显著高于其他两组。经产妇剖腹手术中伤口愈合较差被认为是由于血液供应不良。与伤口感染率显著相关的变量有：术前贫血、手术室医学生人数、抗生素预防性化疗以及经产妇剖腹手术中既往瘢痕的切除。伤口感染中最常见的病原体是化脓性葡萄球菌。本次调查获得的伤口感染率较高，并讨论了各种预防措施。
