Infection factors and nursing countermeasures of infection after cesarean section

doi:10.3877/cma.j.issn.1674-1358.2016.02.017

Abstract

Abstract:

Objective

To analyze the implementation of corresponding nursing countermeasures to infection after cesarean section cesarean delivery, and to reduce the occurrence of infection, and provide the basis for clinical nursing.

Methods

A retrospective analysis of the clinical data of 84 cases of cesarean section infection from 2012 to 2014 were analyzed, retrospectively.

Results

In the 84 cases of infected patients, cesarean section indications of fetal distress (21 cases), labor abnormalities (18 cases) and head disproportion (6 cases) were the top three constituent ratio: 25.00%, 21.43%, 19.05%; cesarean incision site of infection (33 cases), reproductive system (18 cases) and urinary (14 cases) were the top three constituent ratio: 39.29%, 21.43% and 16.67%; age, body mass index (BMI), maternal factors such as whether a consolidated basis and maternal disease cesarean infection; laboratory pathogens 56 (66.67%), infection pathogens in the top three were Staphylococcus aureus (12, ≥ 21.43%), Pseudomonas aeruginosa (11, ≥ 19.64%), Escherichia coli (9, ≥ 16.07%). The constituent ratios of the infection cases ≥ 30 years old, BMI ≥ 25, labor course ≥ 12 h, operation duration ≥ 1 hour, intraoperativc bleeding volume ≥ 500 ml, and postoperative catheter indwelling time longer than 12 hours, which were defined as the high risk factors for the nosocomial infections in the women undergoing cesarean section (P all < 0.05).

Conclusions

Knowledge of maternity care before positive guidance, strictly control of surgical indications for cesarean section, remove of unimportant check operation during the maternity clinic, the rational use of antibiotics before delivery, strict aseptic sterilization management on the wards and operating rooms, targeted and effective treatments after cesarean section can effectively prevent infection after cesarean section.

Key words: Cesarean Section, Infection, Nursing

Wenwen Gu. Infection factors and nursing countermeasures of infection after cesarean section[J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2016, 10(02): 213-216.

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Figures/Tables 4

References 20

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剖宫产指征	例数	构成比（%）
胎儿窘迫	21	25.00
产程异常	18	21.43
头盆不称	16	19.05
妊娠并发症	9	10.71
胎位异常	8	9.52
社会因素	6	7.14
疤痕子宫	2	2.38
胎盘异常	2	2.38
骨盆狭窄	2	2.38

剖宫产指征	例数	构成比（%）
胎儿窘迫	21	25.00
产程异常	18	21.43
头盆不称	16	19.05
妊娠并发症	9	10.71
胎位异常	8	9.52
社会因素	6	7.14
疤痕子宫	2	2.38
胎盘异常	2	2.38
骨盆狭窄	2	2.38

感染部位	例数	构成比（%）
手术切口	33	39.29
生殖系统	18	21.43
泌尿系统	14	16.67
呼吸系统	10	11.90
消化系统	6	7.14
全身感染	1	1.19
其他部位	2	2.38

感染部位	例数	构成比（%）
手术切口	33	39.29
生殖系统	18	21.43
泌尿系统	14	16.67
呼吸系统	10	11.90
消化系统	6	7.14
全身感染	1	1.19
其他部位	2	2.38

危险因素		例数	构成比（%）	χ²值	P值
年龄（岁）
	< 30	29	34.52	10.78	< 0.01
	≥ 30	55	65.48	10.78	< 0.01
体质量指数（kg/m²）
	< 25	29	34.52	10.78	< 0.01
	≥ 25	55	65.48	10.78	< 0.01
基础疾病
	无	22	26.19	24.31	< 0.01
	有	62	73.81	24.31	< 0.01
胎膜早破
	无	22	26.19	24.31	< 0.01
	有	62	73.81	24.31	< 0.01
阴道检查次数（次）
	< 3	29	34.52	10.78	< 0.01
	≥ 3	55	65.48	10.78	< 0.01
产程（h）
	< 12	29	34.52	10.78	< 0.01
	≥ 12	55	65.48	10.78	< 0.01
手术时间（h）
	< 1	29	34.52	10.78	< 0.01
	≥ 1	55	65.48	10.78	< 0.01
术中出血量（ml）
	< 500	29	34.52	10.78	< 0.01
	≥ 500	55	65.48	10.78	< 0.01
术后留置导尿（h）
	< 12	22	26.19	24.31	< 0.01
	≥ 12	62	73.81	24.31	< 0.01

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