Langmaack H, Schleipen W, Daschner F
Geburtshilfe Frauenheilkd. 1982 Sep;42(9):672-5. doi: 10.1055/s-2008-1036943.
Nosocomial infections of 1356 mothers and their newborn have been analyzed and compared in three different regimens for postnatal care of newborn (rooming-in service, mixed service and central newborn nursery). The average nosocomial infection rate of mothers was significantly lower in the rooming-in service as compared to the newborn nursery. Most common nosocomial infections of mothers were urinary tract infections, endometritis, wound infection, enteritis and mastitis; in newborn enteritis, oral candida infections, panaritium, conjunctivitis and staphylococcus skin infections. Staphylococcal infection of newborn were higher in the newborn nursery as compared to the rooming-in service. Epidermic nosocomial infections (e.g. enteritis, candida infections) occurred more often in the newborn nursery as compared to the mixed system and rooming-in service. There was an increased risk of cross infections from mothers with wound infection, endometritis and mastitis to their children.
对1356名母亲及其新生儿在三种不同的新生儿产后护理方案(母婴同室服务、混合服务和中央新生儿护理室)中的医院感染情况进行了分析和比较。与新生儿护理室相比,母婴同室服务中母亲的平均医院感染率显著较低。母亲最常见的医院感染是尿路感染、子宫内膜炎、伤口感染、肠炎和乳腺炎;新生儿则是肠炎、口腔念珠菌感染、脓性指头炎、结膜炎和葡萄球菌皮肤感染。与母婴同室服务相比,新生儿护理室中新生儿的葡萄球菌感染率更高。与混合系统和母婴同室服务相比,表皮医院感染(如肠炎、念珠菌感染)在新生儿护理室中更常发生。有伤口感染、子宫内膜炎和乳腺炎的母亲将感染传染给孩子的交叉感染风险增加。