Obstetrics and Gynecology
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.
Conclusion: 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
Conflicts of interest: No conflict
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
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