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在乌克兰剖腹产后的道感染:多中心研究的结果 (2020-2022)
Aidyn G Salmanov1, Volodymyr Artyomenko2, Olena M Susidko3
1SHUPYK NATIONAL HEALTHCARE UNIVERSITY OF UKRAINE, KYIV, UKRAINE; INSTITUTE OF PEDIATRICS, OBSTETRICS AND GYNECOLOGY OF THE NATIONAL ACADEMY OF MEDICAL SCIENCES OF UKRAINE, KYIV, UKRAINE.
Wiadomosci lekarskie (Warsaw, Poland : 1960)
|July 18, 2023
概括
在剖腹产 (CSEC) 后,阴道相关的尿路感染 (CAUTIs) 在乌克兰很常见,影响了13.6%的女性. 许多CAUTIs是由多药耐药细菌引起的,这凸显了改善预防策略的必要性.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 产科和妇科 产科和妇科
背景情况:
- 导管相关的尿路感染 (CAUTIs) 对患者构成重大风险,特别是在手术后.
- 剖腹产 (CSEC) 涉及尿导管,增加了对CAUTIs的敏感性.
- 根据CSEC,乌克兰的CAUTIs和抗菌素耐药性模式的全国流行情况存在有限的数据.
研究的目的:
- 确定乌克兰接受初级CSEC的妇女中CAUTI的全国患病率.
- 在CSEC后识别导致CAUTI的常见泌尿病原体.
- 评估这些尿病原体的抗菌素耐药性模式.
主要方法:
- 从2020年1月到2022年12月,在15家乌克兰妇女医院进行的未来的多中心监测.
- 根据CDC/NHSN标准改编的CAUTI定义.
- 使用磁盘扩散方法进行的抗生素敏感性测试,按照欧洲抗生素敏感性测试委员会指南进行.
主要成果:
- 这项研究共包括了15892名接受初级CSEC的妇女.
- 发现CAUTI的患病率为13.6%.
- 大肠杆菌,Proteus mirabilis和Enterococcus物种是最常见的尿病原体;许多分离物体表现出多种药物耐药性.
结论:
- 在乌克兰接受初级CSEC的导管女性中,CAUTIs是常见的并发症.
- 很大一部分CAUTIs是由抗生素耐药性病原体引起的.
- 优化管理和实证抗菌疗法,重点是预防,对于减少CAUTIs负担至关重要.
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