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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >Surgical site infections post cesarean section
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Surgical site infections post cesarean section

机译：剖宫产后的手术部位感染

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Background: Surgical site infections are among the most common hospital acquired infections. They make upto 14-16% of inpatient infections. Objective of present study was to evaluate the risk factors associated with surgical site infections and the bacteria causing wound infections in obstetric operations and the antibiotic sensitivity and resistance pattern of the pathogens isolated. Methods: 100 women with wound infection during hospital stay or within 30 days following surgery. Pus samples were collected from the wound site with help of sterile swabs under aseptic precautions and immediately transported to microbiology laboratory for culture and sensitivity. Results: Most of the patients belonged to the age group of 21-25 years, contributing to 55% of the cases. Majority of the women are from rural areas (71%). 57% of the cases were unbooked. 90% of the SSI were seen in emergency surgeries. Anaemia (48%) was the most common medical risk factor followed by hypertensive disorders 25%. The risk of post operative infection has been shown to be proportional to volume of blood loss during cesarean section and duration of surgery. Staphylococcus aureus to be predominant organism of wound infection of which 21% were MRSA followed by Klebsiella and E.coli . The gram negative isolates were 100% resistant to ampicillin followed by 22.5% to third generation cephalosporins and aminoglycosides. Conclusions: Proper assessment of risk factors that predispose to SSI is critical for the development of strategies for reducing the incidence of SSI and for identifying high risk patients requiring intensive postoperative surveillance.
机译：背景：手术部位感染是最常见的医院获得性感染之一。他们占住院感染的14-16％。本研究的目的是评估与手术部位感染和产科手术中引起伤口感染的细菌有关的危险因素，以及分离出的病原体的抗生素敏感性和耐药模式。方法：100名在住院期间或手术后30天内有伤口感染的女性。在无菌预防措施的帮助下，在无菌拭子的帮助下从伤口部位收集脓液样本，并立即将其运送到微生物实验室进行培养和敏感性分析。结果：大多数患者属于21-25岁年龄段，占55％的病例。大多数妇女来自农村地区（71％）。 57％的案件尚未预定。 90％的SSI出现在急诊手术中。贫血（48％）是最常见的医学危险因素，其次是高血压疾病（25％）。术后感染的风险已被证明与剖宫产术中失血量和手术时间成正比。金黄色葡萄球菌是伤口感染的主要生物，其中MRSA占21％，其次是克雷伯菌和大肠杆菌。革兰氏阴性菌株对氨苄西林具有100％的耐药性，其次对第三代头孢菌素和氨基糖苷具有22.5％的耐药性。结论：对易患SSI的危险因素进行正确评估对于制定降低SSI发病率的策略以及识别需要术后加强监护的高危患者至关重要。

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