THE ANALYSIS OF RISK FACTORS OF PURULENT-SEPTIC COMPLICATIONS DEVELOPMENT AFTER ABDOMINAL DELIVERY
https://doi.org/10.21886/2219-8075-2013-2-98-101
Abstract
Purpose: estimation of risk factors and degree of their significance in infectious-inflammatory processes development after Cesarean section.
Materials and methods: the retrospective medical documentation analysis of 2235 cases of operative delivery.
Results: it is established that antibiotic prophylaxis at a Cesarean section during the investigated period was carried out without contemporary risk factors, an individual estimation of qualitative-quantitative structure genital tract microflora and its account antibiotic -sensitivity in 16.2 % of cases led to nonspecific inflammatory complications development in the postnatal period. Contemporary risk factors of inflammatory complications development in abdominal delivery are revealed.
Summary: it is necessary to accomplish a working out and introduction of contemporary and scientifically proved algorithm of purulent-septic complications prevention after abdominal delivery in work of obstetric permanent establishment, taking into account modern risk factors.
About the Authors
A. N. Rymashevsky
Rostov State Medical University
Russian Federation
Russian Federation
Chair of obstetrics and gynaecology №1
29 Nakhichevansky lane, Rostov-on-Don, 344022
J. L. Naboka
Rostov State Medical University
Russian Federation
Russian Federation
Microbiology and Virology Department
29 Nakhichevansky lane, Rostov-on-Don, 344022
M. V. Potapova
The Municipal budgetary institution of the public health Town hospital №1 name N.A. Semashko
Russian Federation
Russian Federation
Obstetric Branch
105 farted. Voroshilovskiy, Rostov-on-Don, 344002
E. D. Slyusareva
Тhe municipal budgetary institution of the public health «Puerperal house 5»
Russian Federation
32, Madoyana str., Rostov-on-Don, 344004
Russian Federation
32, Madoyana str., Rostov-on-Don, 344004
R. S. Gevorkyan
The municipal budgetary institution of the public health «Town polyclinic 42»
Russian Federation
33 «a», Eremenko str., Rostov-on-Don, 344103
Russian Federation
33 «a», Eremenko str., Rostov-on-Don, 344103
A. V. Kadetov
The Municipal budgetary institution of the public health Town hospital №1 name N.A. Semashko
Russian Federation
Russian Federation
Obstetric Branch
105 farted. Voroshilovskiy, Rostov-on-Don, 344002
L. A. Terekhina
Rostov State Medical University
Russian Federation
Russian Federation
Chair of obstetrics and gynaecology №1
29 Nakhichevansky lane, Rostov-on-Don, 344022
References
1. Радзинский В.Е. Акушерская агрессия. // StatusPraesens. Москва. - 2011. - 688 с.
2. Горин В.С., Серов В.Н., Бирюкова Л.А., Степанов В.В.Оптимизация диагностики и лечения послеродового эндометрита. // Российский вестник акушера-гинеколога. – 2009. - №1. – С.21-28.
3. Su G.D., Gong S.P., Yu Y.H. et al. Intraoperative and postoperative risk factors for surgical site infunction following cesarean section. // Am J. Obstet. Gynec. – 2008. - 201: 1.- Р. 322-328.
4. Шехтман М.М. Руководство по экстрагенитальной патологии у беременных. //М.: Триада. – 2005. – 816 с.
5. Герасимович Г. И. Сепсис и инфекционно-токсический шок в акушерстве. // Охрана материнства и детства. Витебск, 2003. - №2. - С. 17-24.
6. Анохова Л.И., Загородняя Э.Д., Иозефсон С.А. Использование ронколейкина при эндометрите после кесарева сечения. // Материалы VI Российского форума «Мать и дитя». М., 2004. – С.16-17.
7. Soper D., Kemmer C., Conover W. Abbreviated Antibiotic Therapy for the Treatment of Postpartum Endometritis. // Obstet. Gynecol. 2007. - Vol. 69, №1. - P. 127-130.
Review
For citations:
Rymashevsky A.N., Naboka J.L., Potapova M.V., Slyusareva E.D., Gevorkyan R.S., Kadetov A.V., Terekhina L.A. THE ANALYSIS OF RISK FACTORS OF PURULENT-SEPTIC COMPLICATIONS DEVELOPMENT AFTER ABDOMINAL DELIVERY. Medical Herald of the South of Russia. 2013;(2):98-101. (In Russ.) https://doi.org/10.21886/2219-8075-2013-2-98-101
Views:
855
Email this article 