Analysis of genital tractm ycop lasma infection factors of puerperal infection after cesarean section
PENG Xue1 TU Jian-bin2 LU Zhao-xia1
1.Department of Obstetrics and Gynecology,Nanchang Integrated Traditional Chinese and Western Medicine Hospital, Jiangxi Province,Nanchang 330003,China;
2.Clinical Laboratory,Nanchang Integrated Traditional Chinese and Western Medicine Hospital,Jiangxi Province,Nanchang 330003,China
Abstract：Objective To analyze the correlation between infection and puerperal infection in patients with genital tract mycoplasma infection after cesarean section combined treatmentmethod for clinical diagnosis and treatment.M ethods The clinical data of 261 patients with puerperal infection after cesarean section from January 2008 to December 2015 in Nanchang Integrated Traditional Chinese and Western Medicine Hospitalwere analyzed retrospectively.The results of laboratory examination of patients with culture and identification results of mycoplasma bacteria were observed and recorded,and the puerperal infection risk factors were analyzed;the correlation between risk factors of puerperal infec tion and culture resultswas analyzed.Results TheWBC countsand NUETwere increased in 180 cases(68.96％).84 cases (43.98％)had elevated serum CRP level.Only 1 risk factors were produced in 37 cases(14.18％).The results of pathogenic examination showed that 186 cases(71.26％)were positive formycoplasma culture,75 cases(28.73％)were positive for bacterial culture.In Mycoplasma positive cases,Mh positive in 107 cases(57.53％),Uu positive in 79 cases (42.47％);Staphylococcus aureus accounted for the largest proportion of the bacterial infection and the second one was Escherichia coli.The proportion of patients with duration of fever＞3 d in patients with Mycoplasma positive was significantly higher than that of bacteria positive(P＜0.05).Conclusion Mycoplasma infection gradually replaced bacterial infection and become themain reason in puerperal infection,themanagement and treatment ofmaternal pre pregnancy should be strengthen,and to avoid the impact of risk factors,reduce the incidence of puerperal infection after cesarean section.
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