Pathogenic bacteria isolated from scarred uterus puerpera with incision infection after cesarean section and influencing factors
OBJECTIVE To investigate the distribution of pathogens isolated from the scarred uterus puerpera with incision infection after cesarean section and analyze the influencing factors for the infection.METHODS A total of 884 puerpera with scarred uterus who were treated in Yibin Second People's Hospital from Oct 2019 to Feb 2023 were recruited as the research subjects and were divided into the infection group with 61 cases and the non-infec-tion group with 823 cases according to the status of postoperative incision infection.The species of pathogens iso-lated from the scarred uterus puerpera with postoperative incision infections were statistically analyzed,and multi-variate logistic regression analysis was performed for the influencing factors for the postoperative incision infec-tion.RESULTS Escherichia coli,Pseudomonas aeruginosa,Staphylococcus aureus,Streptococcus hemolyticus and Candida albicans were the species of pathogens isolated from the scarred uterus puerpera with postoperative incision infection.The result of multivariate logistic regression analysis showed that body mass index(BMI)no less than 30 kg/m2,emergent cesarean section,no less than 4 times of invasive operation,premature rupture of membranes,operation duration no less than 1 hour and length of surgical incision more than 10 cm were the influ-encing factors for the postoperative incision infection in the scarred uterus puerpera(OR=2.951,3.677,2.421,2.670,2.188,3.418,all P＜0.05).CONCLUSIONE.coli,P.aeruginosa,S.aureus,S.hemolyticus and C.albicans are the major species of pathogens causing the postoperative incision infection in the scarred uterus puer-pera.The influencing factors for the infection include BMI,type of cesarean section,invasive operation,prema-ture rupture of membranes,operation duration and length of incision.It is necessary for the hospital to take targe-ted treatment measures for the puerpera with such above characteristics so as to reduce the risk of postoperative incision infection in the scarred uterus puerpera.
NETL
NSTL
万方数据
维普
