Strøbaek S, Zimakoff J, Kristensen K F, Borgen H, Sørensen L
Den centrale afdeling for sygehushygiejne, Statens Serum Institut, København.
Ugeskr Laeger. 1997 Jun 23;159(26):4117-22.
Puerperal fever caused by group A streptococci (GAS) is a most serious infection deriving from the birth canal after childbirth or caesarian section and is manifest by fever and/or local signs of infections. Secundary infections in the umbilicus or skin can occur in the newborn child. As approximately 5% of the Danish population are carriers of GAS in nose, throat, rectum and/or vagina the risk of infection is present especially in childbirth. GAS epidemics in the community result in increased risk of hospital-acquired GAS infections. In the literature it is recommended to take action and implement preventive strategies when two simultaneous cases occur in one department. We describe the course of seven GAS infections in six patients (two children) in the same obstetric ward over a seven-week period, the elucidation by case-control analysis and the implementation of preventive measures. The importance of good hygienic practices is highlighted.
A组链球菌（GAS）引起的产褥热是分娩或剖宫产术后源自产道的一种极其严重的感染，表现为发热和/或局部感染体征。新生儿可能会发生脐部或皮肤的继发性感染。由于约5%的丹麦人口是GAS在鼻、咽喉、直肠和/或阴道的携带者，尤其是在分娩时存在感染风险。社区中的GAS流行导致医院获得性GAS感染的风险增加。文献中建议，当一个科室同时出现两例病例时应采取行动并实施预防策略。我们描述了在同一产科病房7周内6名患者（2名儿童）发生的7例GAS感染的过程、通过病例对照分析得出的结论以及预防措施的实施情况。强调了良好卫生习惯的重要性。
