摘要
目的探讨引起会阴侧切切口感染的相关因素及预防控制措施,以降低产房会阴切口感染率,提高围产期质量安全。方法根据2009年1月1日-12月31日会阴侧切缝合术的临床资料,对可能引起切口感染的因素进行单因素分析,从各个环节予以预防控制。结果会阴切口感染率<1.00%,其中确诊感染病例24例,细菌培养结果条件致病菌>75.00%;引起会阴切口感染的主要因素与合并基础疾病、胎膜早破、阴检肛查过频、缝合技术、住院天数、卫生宣教欠缺等有关。结论加强围产期的质量控制,从生产的各个环节正确评估并识别危险因素,采取预防措施,做好卫生宣教,能有效降低侧切感染率。
OBJECTIVE To investigate the relevant factors of perineal incision infection and prevention and control measures so as to enhance the safety of the perinatal quality.METHODS According to the clinical data of perineal incision suture from Jan 1st,2009 to Dec 31st,2009,single factor analysis on possible incision infection was conducted and prevention and control measures were carried out in every procedure.RESULTS Infection rate of episiotomy was lower than 1.00%,with 24 infection cases confirmed.Opportunistic pathogen isolated from bacterial culture took up 75%.The main factors led to perineal incision infection correlated with complicating underlying disease,premature rupture of membranes,excessively frequent vagina inspection or anus inspection,suture skill,days of hospitalization,and lack of health publicity,and so on.CONCLUSION The effective ways to reduce the infection rate of perineal incision infection are to reinforce the perinatal quality control,properly assess and identify the risk factors in every step,take prevention measures and promote health publicity.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第17期2606-2607,共2页
Chinese Journal of Nosocomiology
关键词
会阴切口
感染
因素分析
质量控制
Perineal incision
Infection
Factor analysis
Quality control
