[Hospital infections in gynecology and obstetrics. An inclusive prevalence study in Germany].
In a German multicenter survey, 2206 gynaecological patients in 72 randomly selected hospitals were examined for the prevalence of nosocomial infections and possible risk factors. Hospital-acquired infections were diagnosed in 1.45% of the patients. The most common localisation was the urinary tract (0.91%). Septicaemia, vaginitis and infections of the upper and lower airways were only rarely seen. The following endogenous risk factors were identified: diseases of the cardiovascular system (16.1%), malignancies (12.2%) preexisting infections (6.1%), obesity (5.9%), and diabetes (5.0%). The most common exogenous risk factors were peripheral venous catheters (19.9%), catheterisation of the urinary tract (7.2%) and wound drainage (28.6%). 49% of the patients who underwent caesarean section and 50% of the hysterectomy patients received antimicrobial chemoprophylaxis.
Hauer
T
T
Institut für Umweltmedizin und Krankenhaushygiene, Universitätsklinikum Freiburg.
Huzly
D
D
Gastmeier
P
P
Schlingmann
N
N
Schumacher
M
M
Rüden
H
H
Daschner
F
F
D000328:Adult; D000368:Aged; D003428:Cross Infection / Q000453:epidemiology* / Q000209:etiology; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D008875:Middle Aged; D011247:Pregnancy; D011645:Puerperal Infection / Q000453:epidemiology* / Q000209:etiology; D012307:Risk Factors; D018805:Sepsis / Q000453:epidemiology* / Q000209:etiology; D013530:Surgical Wound Infection / Q000453:epidemiology / Q000209:etiology; D014552:Urinary Tract Infections / Q000453:epidemiology* / Q000209:etiology; D014627:Vaginitis / Q000453:epidemiology* / Q000209:etiology