乌克兰与医疗保健相关的孕产妇围产期感染的流行病学和风险因素:一项多中心研究的结果。

Q3 Medicine Polski Merkuriusz Lekarski Pub Date : 2024-01-01 DOI:10.36740/Merkur202404104
Aidyn G Salmanov, Volodymyr V Artyomenko, Andrii O Shchedrov, Andrii P Prishchepa, Anastasia S Padchenko, Svitlana M Korniyenko, Orusia A Kovalyshyn, Khrystyna V Zarichanska, Nataliia M Nastradina, Igor V Kokhanov
{"title":"乌克兰与医疗保健相关的孕产妇围产期感染的流行病学和风险因素:一项多中心研究的结果。","authors":"Aidyn G Salmanov, Volodymyr V Artyomenko, Andrii O Shchedrov, Andrii P Prishchepa, Anastasia S Padchenko, Svitlana M Korniyenko, Orusia A Kovalyshyn, Khrystyna V Zarichanska, Nataliia M Nastradina, Igor V Kokhanov","doi":"10.36740/Merkur202404104","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Aim: To estimate the frequency of different types of healthcare-associated maternal peripartum infections and their risk factors among women in Ukraine.</p><p><strong>Patients and methods: </strong>Materials and Methods: Multicenter prospective cohort study was conducted in nine regional perinatal centers of Ukraine between January 1, 2021, to December 31, 2023. The criteria for specific healthcare-associated maternal peripartum infections (endometritis, episiotomy infection, and maternal sepsis) site were adapted from the CDC/NHSN case definitions. Surveillance was performed during the hospitalization period and up to 30 days after hospital discharge.</p><p><strong>Results: </strong>Results: A total of 3600 deliveries by the vaginal route were performed during the study period, 600 (16.7%) maternal peripartum infections were observed. Of all maternal peripartum infection cases, 79.7% were detected after hospital discharge. The most common maternal peripartum infections include endometritis (54.8%), episiotomy infections (34.4%), and maternal sepsis (10.8%). According to the multivariate logistic regression analysis, the body mass index >25, placenta previa, premature rupture of membrane, prolonged rupture of membranes, manual removal of the placenta, multiple vaginal examinations, bacterial vaginosis, aerobic vaginitis, gestational diabetes mellitus, and anemia during pregnancy were independent risk factors for maternal peripartum infections.</p><p><strong>Conclusion: </strong>Conclusions: Results this study suggest a high prevalence of healthcare-associated maternal peripartum infections in Ukraine. Several factors have been associated with increased risk of maternal peripartum infections, including pre-existing maternal conditions, placenta previa, prolonged rupture of membranes, and spontaneous or provider-initiated conditions during labour and childbirth.</p>","PeriodicalId":39518,"journal":{"name":"Polski Merkuriusz Lekarski","volume":"52 4","pages":"408-414"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Epidemiology and risk factors for healthcare-associated maternal peripartum infections in Ukraine: results a multicenter study.\",\"authors\":\"Aidyn G Salmanov, Volodymyr V Artyomenko, Andrii O Shchedrov, Andrii P Prishchepa, Anastasia S Padchenko, Svitlana M Korniyenko, Orusia A Kovalyshyn, Khrystyna V Zarichanska, Nataliia M Nastradina, Igor V Kokhanov\",\"doi\":\"10.36740/Merkur202404104\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Aim: To estimate the frequency of different types of healthcare-associated maternal peripartum infections and their risk factors among women in Ukraine.</p><p><strong>Patients and methods: </strong>Materials and Methods: Multicenter prospective cohort study was conducted in nine regional perinatal centers of Ukraine between January 1, 2021, to December 31, 2023. The criteria for specific healthcare-associated maternal peripartum infections (endometritis, episiotomy infection, and maternal sepsis) site were adapted from the CDC/NHSN case definitions. Surveillance was performed during the hospitalization period and up to 30 days after hospital discharge.</p><p><strong>Results: </strong>Results: A total of 3600 deliveries by the vaginal route were performed during the study period, 600 (16.7%) maternal peripartum infections were observed. Of all maternal peripartum infection cases, 79.7% were detected after hospital discharge. The most common maternal peripartum infections include endometritis (54.8%), episiotomy infections (34.4%), and maternal sepsis (10.8%). According to the multivariate logistic regression analysis, the body mass index >25, placenta previa, premature rupture of membrane, prolonged rupture of membranes, manual removal of the placenta, multiple vaginal examinations, bacterial vaginosis, aerobic vaginitis, gestational diabetes mellitus, and anemia during pregnancy were independent risk factors for maternal peripartum infections.</p><p><strong>Conclusion: </strong>Conclusions: Results this study suggest a high prevalence of healthcare-associated maternal peripartum infections in Ukraine. Several factors have been associated with increased risk of maternal peripartum infections, including pre-existing maternal conditions, placenta previa, prolonged rupture of membranes, and spontaneous or provider-initiated conditions during labour and childbirth.</p>\",\"PeriodicalId\":39518,\"journal\":{\"name\":\"Polski Merkuriusz Lekarski\",\"volume\":\"52 4\",\"pages\":\"408-414\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Polski Merkuriusz Lekarski\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.36740/Merkur202404104\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Polski Merkuriusz Lekarski","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36740/Merkur202404104","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

摘要

目的目的:估计乌克兰妇女中不同类型的与医疗保健相关的孕产妇围产期感染的频率及其风险因素:材料与方法:多中心前瞻性队列研究于 2021 年 1 月 1 日至 2023 年 12 月 31 日在乌克兰九个地区围产中心进行。特定医疗保健相关产妇围产期感染(子宫内膜炎、外阴切开术感染和产妇败血症)的标准参照美国疾病预防控制中心/国家卫生与健康网的病例定义。监测在住院期间和出院后 30 天内进行:结果:结果:研究期间共进行了 3600 例阴道分娩,观察到 600 例(16.7%)产妇围产期感染。在所有产妇围产期感染病例中,79.7%是在出院后发现的。最常见的产妇围产期感染包括子宫内膜炎(54.8%)、外阴切开术感染(34.4%)和产妇败血症(10.8%)。根据多变量逻辑回归分析,体重指数大于 25、前置胎盘、胎膜早破、胎膜破裂时间过长、人工剥离胎盘、多次阴道检查、细菌性阴道病、需氧性阴道炎、妊娠期糖尿病和孕期贫血是孕产妇围产期感染的独立风险因素:结论本研究结果表明,在乌克兰,与医疗保健相关的孕产妇围产期感染发病率很高。有几个因素与产妇围产期感染风险增加有关,包括产妇原有疾病、前置胎盘、胎膜破裂时间过长、分娩和生产过程中的自发情况或提供者引发的情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Epidemiology and risk factors for healthcare-associated maternal peripartum infections in Ukraine: results a multicenter study.

Objective: Aim: To estimate the frequency of different types of healthcare-associated maternal peripartum infections and their risk factors among women in Ukraine.

Patients and methods: Materials and Methods: Multicenter prospective cohort study was conducted in nine regional perinatal centers of Ukraine between January 1, 2021, to December 31, 2023. The criteria for specific healthcare-associated maternal peripartum infections (endometritis, episiotomy infection, and maternal sepsis) site were adapted from the CDC/NHSN case definitions. Surveillance was performed during the hospitalization period and up to 30 days after hospital discharge.

Results: Results: A total of 3600 deliveries by the vaginal route were performed during the study period, 600 (16.7%) maternal peripartum infections were observed. Of all maternal peripartum infection cases, 79.7% were detected after hospital discharge. The most common maternal peripartum infections include endometritis (54.8%), episiotomy infections (34.4%), and maternal sepsis (10.8%). According to the multivariate logistic regression analysis, the body mass index >25, placenta previa, premature rupture of membrane, prolonged rupture of membranes, manual removal of the placenta, multiple vaginal examinations, bacterial vaginosis, aerobic vaginitis, gestational diabetes mellitus, and anemia during pregnancy were independent risk factors for maternal peripartum infections.

Conclusion: Conclusions: Results this study suggest a high prevalence of healthcare-associated maternal peripartum infections in Ukraine. Several factors have been associated with increased risk of maternal peripartum infections, including pre-existing maternal conditions, placenta previa, prolonged rupture of membranes, and spontaneous or provider-initiated conditions during labour and childbirth.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Polski Merkuriusz Lekarski
Polski Merkuriusz Lekarski Medicine-Medicine (all)
CiteScore
1.90
自引率
0.00%
发文量
84
期刊最新文献
Comparative analysis of early postoperative results of transcatheter aortic valve implantation and surgical aortic valve replacement with a biological prosthesis. Coronavirus infection and systemic inflammatory reaction syndrome. Empathy, self-compassion, and depression correlations among health professionals in Northern Greece. Epidemiological parameters and monitoring of analysis of treatment of children and adolescents with type 1 diabetes mellitus in insulin pump therapy with modified educational program. Evaluation of potential prevalence of onconeural antibodies in women with breast cancer.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1