STRUCTURE OF NOSOCOMIAL INFECTIOUS AND INFLAMMATORY COMPLICATIONS AFTER ABDOMINAL DELIVERY
Department of Women’s Reproductive Health, North-West State Medical University named after I.I. Mechnikov, Saint-Petersburg, Russian Federation
Objective: Analysis of the frequency and structure of postoperative infectious and inflammatory complications in the puerperae after abdominal delivery, which were under treatment in the specialized department of the third-level hospital for 2017.
Methods: s: Examined and treated of 66 parturient women with infectious complications after cesarean section. The spectrum of nosocomial microflora and resistance to antimicrobial agents determined using an automatic microbiological analyzer based on mass spectrometry.
Results: The main recorded nosological form was infection of the area of surgical intervention. In 3% of cases, postoperative metroendometritis complicated by the inconsistency of sutures on the uterus with the development of obstetric peritonitis, and in 7.6% by sepsis. The structure of isolated microflora in postoperative infection was different after planned and emerged delivery, which should be taken into account when developing a local form of perioperative antibiotic prophylaxis and therapy.
Conclusions: At present, there is an underestimation of the severity of metroendometritis after cesarean section with premature discharge or a belated transfer from the maternity hospital to the specialized observatory department of the multi-profile hospital. One in five postoperative metroendometritis caused by multidrug-resistant hospital microflora.
Keywords: Caesarean section, infectious complications, observational department, obstetric wound infection, postnatal metroendometritis, postpartum sepsis, obstetric peritonitis.
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Korobkov Nikolay Aleksandrovich
Candidate of Medical Sciences, Associate Professor of the Department of Women’s Reproductive Health, North-West State Medical University named after I.I. Mechnikov
Address for correspondence:
Korobkov Nikolay Aleksandrovich
Candidate of Medical Sciences, Associate Professor of the Department of Women’s Reproductive Health,
North-West State Medical University named after I.I. Mechnikov
191193, Russian Federation, St. Petersburg, str. Stremyannaya, building # 22/3, apt. 34
Tel.: (+7) 921 6557296
Materials on the topic:
- RISK FACTORS OF THE DEVELOPMENT OF PRENOSOLOGICAL FORMS OF POSTPARTUM PYOINFLAMMATORY DISEASES
- FEATURES OF THE MORPHOLOGICAL STRUCTURE OF THE PLACENTA OF PUERPERAS WITH GESTATIONAL DIABETES AND ANEMIA
- PREVENTION OF PLACENTAL INSUFFICIENCY IN PREGNANT WOMEN WITH DIFFUSE GOITER AND HYPOTHYROXINEMIA
- REPRODUCTIVE FUNCTION OF WOMEN WITH THE HISTORY OF DIFFUSE APPENDICULAR PERITONITIS IN CHILDHOOD
- PREVALENCE AND MEDICO-SOCIAL CHARACTERISTICS OF PREGNANT WOMEN WITH GESTATIONAL DIABETES MELLITUS IN COMBINATION WITH ANEMIA
- THE STRUCTURE OF CONGENITAL MALFORMATIONS OF THE FEMALE REPRODUCTIVE SYSTEM (ACCORDING TO THE TAJIK SRI OF OBSTETRICS, GYNECOLOGY, AND PERINATOLOGY)
- ASSESSMENT OF RISK FACTORS OF PREMATURE BIRTH
- HISTOLOGICAL PICTURE OF THE PLACENTAE AND FEATURES OF CD34+ EXPRESSION IN THE CELLS OF ENDOTHELIUM OF CHORION VESSELS OF PREGNANTS WITH ANAEMIA
- COURSE OF PREGNANCY IN WOMEN WITH VARICOSE DISEASE
- SOMATIC AND GYNECOLOGICAL STATUS OF REPRODUCTIVE-AGE OF WOMEN WITH BENIGN TUMORS AND TUMOR-LIKE FORMATIONS OF THE OVARIES