Correlation between the culture result of amniotic fluid in cesarean section and postpartum infection_West China Medical Journal

Authors：

ZHANG Jing ,  LI Qu , DU Xiaohong , ZHANG Anping , GAO Yan , JIANG Qingyuan , ZHENG Jianmin , WANG Jing , LI Qin

Department of Hospital Infection Control, Women’s and Children’s Hospital of Sichuan Province, Chengdu, Sichuan 610045, P. R. China;

Corresponding author：

LI Qu, Email: liqu1066@163.com

Keywords：

Cesarean section; Amniotic fluid; Microorganism; Puerpera; Infection

DOI：

10.7507/1002-0179.201802069

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To study the clinical significance of the microorganism culture result of amniotic fluid in cesarean section in the treatment of anti-infection after operation. Methods From August 2016 to May 2017 in Women’s and Children’s Hospital of Sichuan Province, 502 amniotic fluid samples were collected in cesarean section to carry out bacteria culture. The correlations between the amniotic fluid culture result and the preoperative and intraoperative risk factors and the correlations between postoperative infection and the preoperative and intraoperative risk factors were analyzed. Results In the 502 amniotic fluid samples, there were 131 samples culture-positive. The microbiological culture results of amniotic fluid were statistically different between the puerperae with gestational age<37 weeks and the ones with gestational age≥37 weeks (P=0.001). Postoperative infection occurred in 6 puerperae, in whom the amniotic fluid culture results were positive in 3 puerperae. There was no statistical difference in the occurrence of postoperative infection between the puerperae with amniotic fluid culture-positive results and the ones with negative results (P=0.382). The occurrence of postoperative infection was associated with preoperative infections, gestational age, using time of antimicrobial, and preoperative rupture of membranes (P<0.05). Conclusions The contamination rate of amniotic fluid specimen was high, which was of low reference value to anti-infection treatment after operation. When an extension of anti-infection treatment be carried out after cesarean section, suitable specimens should be selected according to the infection site.

Citation： ZHANG Jing, LI Qu, DU Xiaohong, ZHANG Anping, GAO Yan, JIANG Qingyuan, ZHENG Jianmin, WANG Jing, LI Qin. Correlation between the culture result of amniotic fluid in cesarean section and postpartum infection. West China Medical Journal, 2018, 33(3): 298-301. doi: 10.7507/1002-0179.201802069 Copy

1.	李兰娟. 感染微生态学. 北京: 人民卫生出版社, 2002: 425-426.
2.	王茜. 妊娠晚期孕妇 B 族链球菌感染的临床观察. 大家健康, 2014, 8(11): 605-606.
3.	D’Angelo Lj, Sokol Rj. Determinants of postpartum morbidity in laboring monitored patients: a reassessment of the bacteriology of the amniotic fluid during labor. Am J Obstet Gynecol, 1980, 136(5): 575-578.
4.	黎日海, 刘建瑜, 吴甲文. 羊水细菌培养结果及药敏试验结果分析. 医学前沿, 2016, 6(8): 62-63.
5.	赵映华, 何洁云, 郑燕彩. 妊娠晚期不同状况羊膜腔内细菌学临床研究. 中国综合临床, 2011, 27(1): 100-103.
6.	付晶, 苟文丽. 早产相关因素研究进展. 中国计划生育和妇产科, 2015, 7(4): 10-11.
7.	赵映华, 何洁云, 钟燕萍. 无胎膜早破待产和试产后羊膜腔内细菌状况的对照研究. 中国医药导刊, 2009, 11(10): 1644-1645.
8.	庞婷, 杨菊梅. 产时羊水过少对母婴的影响及诊治探讨. 中国现代医药杂志, 2013, 15(3): 47-49.
9.	林玉兰. 晚期妊娠羊水过少对母婴结局的影响. 基层医学论坛, 2016, 20(3): 329-330.
10.	赵忆文, 朱召芹, 蔡金凤, 等. 上海某医院 2011 年 1 至 5 月住院病例 2044 份血及体液标本血培养结果分析. 检验医学, 2014, 29(2): 100-103.
11.	祖建兵. 临床检验体液标本送检不合格原因分析. 世界最新医学信息文摘: 连续型电子期刊, 2015, 15(31): 142-143.
12.	李金枝, 叶丹娟, 邢彦彦, 等. 剖宫产前碘伏消毒阴道对预防子宫内膜炎的前瞻性研究. 实用妇产科杂志, 2013, 29(11): 825.
13.	陈跃先. 剖宫产术前 0.5% 聚维酮碘液消毒阴道 125 例临床观察. 中国妇幼保健, 2009, 24(30): 4326.
14.	张慧丽, 刘叶花, 何玉甜. 有无明显诱因致早产合并胎膜早破的临床对比分析. 实用妇产科杂, 2013, 29(2): 129-132.
15.	林玉龙, 王琴芳, 李桂枝. 立项前后我院围术期预防用抗菌药物情况调查分析. 中国药房, 2013, 24(26): 2407-2410.
16.	赵济国. Ⅰ类切口手术围手术期抗菌药物预防性应用分析. 中国感染控制杂志, 2013, 3(1): 52-53.
17.	Choi J, Jeong B, Lee SW, et al. Aberrant development of functional connectivity among resting state-related functional networks in medication-naïve ADHD children. PLoS One, 2013, 8(12): e83516.
18.	唐未坤. 预防剖宫产术后感染的研究进展. 河北医药, 2016, 37(6): 908-910.

1. 李兰娟. 感染微生态学. 北京: 人民卫生出版社, 2002: 425-426.
2. 王茜. 妊娠晚期孕妇 B 族链球菌感染的临床观察. 大家健康, 2014, 8(11): 605-606.
3. D’Angelo Lj, Sokol Rj. Determinants of postpartum morbidity in laboring monitored patients: a reassessment of the bacteriology of the amniotic fluid during labor. Am J Obstet Gynecol, 1980, 136(5): 575-578.
4. 黎日海, 刘建瑜, 吴甲文. 羊水细菌培养结果及药敏试验结果分析. 医学前沿, 2016, 6(8): 62-63.
5. 赵映华, 何洁云, 郑燕彩. 妊娠晚期不同状况羊膜腔内细菌学临床研究. 中国综合临床, 2011, 27(1): 100-103.
6. 付晶, 苟文丽. 早产相关因素研究进展. 中国计划生育和妇产科, 2015, 7(4): 10-11.
7. 赵映华, 何洁云, 钟燕萍. 无胎膜早破待产和试产后羊膜腔内细菌状况的对照研究. 中国医药导刊, 2009, 11(10): 1644-1645.
8. 庞婷, 杨菊梅. 产时羊水过少对母婴的影响及诊治探讨. 中国现代医药杂志, 2013, 15(3): 47-49.
9. 林玉兰. 晚期妊娠羊水过少对母婴结局的影响. 基层医学论坛, 2016, 20(3): 329-330.
10. 赵忆文, 朱召芹, 蔡金凤, 等. 上海某医院 2011 年 1 至 5 月住院病例 2044 份血及体液标本血培养结果分析. 检验医学, 2014, 29(2): 100-103.
11. 祖建兵. 临床检验体液标本送检不合格原因分析. 世界最新医学信息文摘: 连续型电子期刊, 2015, 15(31): 142-143.
12. 李金枝, 叶丹娟, 邢彦彦, 等. 剖宫产前碘伏消毒阴道对预防子宫内膜炎的前瞻性研究. 实用妇产科杂志, 2013, 29(11): 825.
13. 陈跃先. 剖宫产术前 0.5% 聚维酮碘液消毒阴道 125 例临床观察. 中国妇幼保健, 2009, 24(30): 4326.
14. 张慧丽, 刘叶花, 何玉甜. 有无明显诱因致早产合并胎膜早破的临床对比分析. 实用妇产科杂, 2013, 29(2): 129-132.
15. 林玉龙, 王琴芳, 李桂枝. 立项前后我院围术期预防用抗菌药物情况调查分析. 中国药房, 2013, 24(26): 2407-2410.
16. 赵济国. Ⅰ类切口手术围手术期抗菌药物预防性应用分析. 中国感染控制杂志, 2013, 3(1): 52-53.
17. Choi J, Jeong B, Lee SW, et al. Aberrant development of functional connectivity among resting state-related functional networks in medication-naïve ADHD children. PLoS One, 2013, 8(12): e83516.
18. 唐未坤. 预防剖宫产术后感染的研究进展. 河北医药, 2016, 37(6): 908-910.

West China Medical Journal

Correlation between the culture result of amniotic fluid in cesarean section and postpartum infection

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content