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：

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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.	李蘭娟. 感染微生態學. 北京: 人民衛生出版社, 2002: 425-426.
2.	王茜. 妊娠晚期孕婦 B 族鏈球菌感染的臨床觀察. 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, 劉建瑜, 吳甲文. 羊水細菌培養結果及藥敏試驗結果分析. 醫學前沿, 2016, 6(8): 62-63.
5.	趙映華, 何潔云, 鄭燕彩. 妊娠晚期不同狀況羊膜腔內細菌學臨床研究. 中國綜合臨床, 2011, 27(1): 100-103.
6.	付晶, 茍文麗. 早產相關因素研究進展. 中國計劃生育和婦產科, 2015, 7(4): 10-11.
7.	趙映華, 何潔云, 鐘燕萍. 無胎膜早破待產和試產后羊膜腔內細菌狀況的對照研究. 中國醫藥導刊, 2009, 11(10): 1644-1645.
8.	龐婷, 楊菊梅. 產時羊水過少對母嬰的影響及診治探討. 中國現代醫藥雜志, 2013, 15(3): 47-49.
9.	林玉蘭. 晚期妊娠羊水過少對母嬰結局的影響. 基層醫學論壇, 2016, 20(3): 329-330.
10.	趙憶文, 朱召芹, 蔡金鳳, 等. 上海某醫院 2011 年 1 至 5 月住院病例 2044 份血及體液標本血培養結果分析. 檢驗醫學, 2014, 29(2): 100-103.
11.	祖建兵. 臨床檢驗體液標本送檢不合格原因分析. 世界最新醫學信息文摘: 連續型電子期刊, 2015, 15(31): 142-143.
12.	李金枝, 葉丹娟, 邢彥彥, 等. 剖宮產前碘伏消毒陰道對預防子宮內膜炎的前瞻性研究. 實用婦產科雜志, 2013, 29(11): 825.
13.	陳躍先. 剖宮產術前 0.5% 聚維酮碘液消毒陰道 125 例臨床觀察. 中國婦幼保健, 2009, 24(30): 4326.
14.	張慧麗, 劉葉花, 何玉甜. 有無明顯誘因致早產合并胎膜早破的臨床對比分析. 實用婦產科雜, 2013, 29(2): 129-132.
15.	林玉龍, 王琴芳, 李桂枝. 立項前后我院圍術期預防用抗菌藥物情況調查分析. 中國藥房, 2013, 24(26): 2407-2410.
16.	趙濟國. Ⅰ類切口手術圍手術期抗菌藥物預防性應用分析. 中國感染控制雜志, 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-na?ve ADHD children. PLoS One, 2013, 8(12): e83516.
18.	唐未坤. 預防剖宮產術后感染的研究進展. 河北醫藥, 2016, 37(6): 908-910.

1. 李蘭娟. 感染微生態學. 北京: 人民衛生出版社, 2002: 425-426.
2. 王茜. 妊娠晚期孕婦 B 族鏈球菌感染的臨床觀察. 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, 劉建瑜, 吳甲文. 羊水細菌培養結果及藥敏試驗結果分析. 醫學前沿, 2016, 6(8): 62-63.
5. 趙映華, 何潔云, 鄭燕彩. 妊娠晚期不同狀況羊膜腔內細菌學臨床研究. 中國綜合臨床, 2011, 27(1): 100-103.
6. 付晶, 茍文麗. 早產相關因素研究進展. 中國計劃生育和婦產科, 2015, 7(4): 10-11.
7. 趙映華, 何潔云, 鐘燕萍. 無胎膜早破待產和試產后羊膜腔內細菌狀況的對照研究. 中國醫藥導刊, 2009, 11(10): 1644-1645.
8. 龐婷, 楊菊梅. 產時羊水過少對母嬰的影響及診治探討. 中國現代醫藥雜志, 2013, 15(3): 47-49.
9. 林玉蘭. 晚期妊娠羊水過少對母嬰結局的影響. 基層醫學論壇, 2016, 20(3): 329-330.
10. 趙憶文, 朱召芹, 蔡金鳳, 等. 上海某醫院 2011 年 1 至 5 月住院病例 2044 份血及體液標本血培養結果分析. 檢驗醫學, 2014, 29(2): 100-103.
11. 祖建兵. 臨床檢驗體液標本送檢不合格原因分析. 世界最新醫學信息文摘: 連續型電子期刊, 2015, 15(31): 142-143.
12. 李金枝, 葉丹娟, 邢彥彥, 等. 剖宮產前碘伏消毒陰道對預防子宮內膜炎的前瞻性研究. 實用婦產科雜志, 2013, 29(11): 825.
13. 陳躍先. 剖宮產術前 0.5% 聚維酮碘液消毒陰道 125 例臨床觀察. 中國婦幼保健, 2009, 24(30): 4326.
14. 張慧麗, 劉葉花, 何玉甜. 有無明顯誘因致早產合并胎膜早破的臨床對比分析. 實用婦產科雜, 2013, 29(2): 129-132.
15. 林玉龍, 王琴芳, 李桂枝. 立項前后我院圍術期預防用抗菌藥物情況調查分析. 中國藥房, 2013, 24(26): 2407-2410.
16. 趙濟國. Ⅰ類切口手術圍手術期抗菌藥物預防性應用分析. 中國感染控制雜志, 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-na?ve ADHD children. PLoS One, 2013, 8(12): e83516.
18. 唐未坤. 預防剖宮產術后感染的研究進展. 河北醫藥, 2016, 37(6): 908-910.

West China Medical Journal

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

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