Influence of midwives’surgical hand hygiene intervention in perineal inci-sional infection rate in parturients
10.3969/j.issn.1671-9638.2014.10.011
- VernacularTitle:助产人员外科手卫生干预对产妇会阴侧切切口感染率的影响
- Author:
Xifeng XIAO
- Publication Type:Journal Article
- Keywords:
hand hygiene;
surgical hand disinfection;
intervention;
perineal incision;
incisional wound infection;
parturient;
healthcare-associated infection
- From:
Chinese Journal of Infection Control
2014;(10):619-621
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the qualified rate of midwives’surgical hand disinfection and perineal in-cisional infection in parturients,so as to provide reference for reducing perineal incisional infection.Methods Data of 7 148 women who delivered naturally in an obstetrics department between January 2012 and December 2013 were collected,3 569 midwives who weren’t intervened in surgical hand disinfection between January and December 2012 were as control group,and 3 579 midwives who were intervened between January and December 2013 were as intervention group,the perineal incisional infection rate of parturients and qualified rate of midwives’hand hygiene of two groups were compared.Results There were no significant difference in maternal age,body mass index,un-derlying diseases,No.of vaginal delivery examination,delivery season,delivery lasting time,incision suture tech-nique,antimicrobial prophylaxis,and neonatal weight between intervention group and control group (all P>0.05). The qualified rate of midwives’surgical hand disinfection method increased from 19.31%(n=689)before interven-tion to 71.03%(n=2 542)after intervention,the difference was significant between two groups(χ2=752.58,P<0.05).Perineal incisional infection rate in intervention group was significantly lower than control group ([(0.28%, 10/3 579]vs [0.81%,29/3 569]),there was significant difference between two groups (χ2=9.36,P<0.05). Conclusion The improvement of qualified rate of midwives’hand hygiene can reduce perineal incisional infection rate of parturients.
