• Journal of Yeungnam Medical Science
• /
• 제35권2호
• /
• pp.248-252
• /
• 2018

Puerperal sepsis is one of the leading causes of maternal morbidity and mortality worldwide. Postpartum pelvic infections can cause various complications, including wound infections and necrotizing fasciitis. Several microorganisms are known to cause such infections; however, no study has reported on Staphylococcus caprae, a coagulase-negative staphylococcus that is isolated frequently from animals and infrequently from human specimens, as a causative agent. Here, we report a rare case of septic shock complicated by necrotizing fasciitis after a cesarean section. This is the first report of a human isolate of S. caprae in association with puerperal sepsis and necrotizing fasciitis.

• 동국한의학연구소논문집
• /
• 제6권1호
• /
• pp.177-203
• /
• 1997

산욕기(産褥期) 감염(感染)이란 분만후(分娩後) 생식기(生殖器)의 세균(細菌)에 의한 감염(感染)을 의미(意味)하며, 산후(産後) 체온상승(體溫上昇)의 대부분(大部分)은 골반감염(骨盤感染)에 의한 것으로 산욕기(産褥期) 감염(感染)의 중요(重要)한 지표(指標)가 된다. 한의학에서 산후발열(産後發熱)의 병인병기(病因病機)는 주로 사독감염(邪毒感染), 혈어(血瘀), 외감(外感), 혈허(血虛) 등으로 보았으며, 치료는 일반적(一般的)으로 산후질환(産後疾患)에는 허증(虛證)이 많아 발표공리(發表攻裏)를 과도(過度)하게 하지 않고, 기혈(氣血)과 영위(營衛)의 조화(調和)에 위주로 하나, 외감(外感)과 이실증(裏實證)을 소홀(疏忽)히 하면 안된다. 따라서 산후발열(産後發熱)을 야기(惹起)하는 각종(各種) 원인균(原因菌)에 대(對)한 객관적(客觀的)인 억제효과(抑制效果)의 검증(檢證)은 산후발열(産後發熱)의 치료율(治療率)을 높이는데 중요하다. 그 결과 산욕기감염을 유발하는 각종(各種) 세균(細菌)에 대(對)해 황연(黃連), 오매(烏梅), 오미자(五味子) 등의 수용성(水溶性) 졸출물(拙出物)이 항균활성(抗菌活性)이 상대적(相對的)으로 좋은 효과(效果)를 보였다. 따라서 산욕기(産褥期) 감염(感染)의 치료(治療)에 이들 한약재(韓藥材)를 이용하면 보다 효과적(效果的)일 것으로 생각된다.

• 대한간호학회지
• /
• 제2권1호
• /
• pp.141-157
• /
• 1971

The peripheral infection is one of the major causes of maternal death, and although it is preventable through an effective prenatal as well as postnatal care its morbidity is increasing due to bacterial resistant to an effective antibiotics. The primary purpose of this study was to investigate the peripheral morbidity of 949 parturients who were admitted to the Obstetrics and Gynecologic department of Ewha Woman's University Hospital from January 1971 to September 1971. Among the 949 parturients, especially 40 normal parturients were selected (20, control soup was given complete aseptic care during labor and delivery and post delivery: 20, compare group was given the ordinary care practiced during labor and delivery and maternal ward of Ewha Woman's University Hospital) for bacteriologic test on vaginal flora twice, on admission and on complete cervical dilatation of each parturient. The results obtained from this study were as follows; 1. Majority of parturients age were 21 to 35 years old(90.83%), and educational level of 949 parturients was above high school. A large number of parturients socioeconomic level (according to their husbands' job) were moderate. 2, Among the 949 parturients, multipara (55.9%) were a little more than primipara (44. 1%) and 38.84% of parturients had experienced aborition. 3. In deliverty types, normal deliveries (804 cases) were more than cesarean section deliveries (145 cases) The peripheral morbidity after normal deliveries was 0.5%, and cesarean section deliveries, 23.45%. 4. Among 949 parturients incidence of hemorrhage eases (500cc or more bleeding) showed the higher peripheral morbidity (24.86%) than other cases (bleeding less than 500cc, 7.83%). 5. The majority of parturients (81.03%) had teen taking antenatal care, but most of them were taken irregular antenatal care. On the other hand, on admission, the parturients with complication were 30.32%, and their peripheral morbidity showed much higher (7.02%) than those with no complication (2.71%). 6. The incidence of peripheral morbidity in premature ruptured membrane was higher (10.91%) than normal parturienta (1.73%). 7. In the result of aseptic care during labor and delivery and post delivery, the number of cultured bacteria was legs in control group than Compare group (in control group, on admission 17, on complete cervical dilatation 12: in compare group, on admission 21 on complete cervical dilatation 21) . The most common bacteria were Staphylococcus (control group 14 on admission, compare group 16 on admission), and next Streptococcus, E- Coil, Bacillus Subtilis, in order. Also in control group the number. of colony were reduced (43%) more than in Compare group. Transient temperature elevation from 37℃ to 37.4℃ were noted in compare group (50%) than in control group (30%), and there was no one indicated above 38℃. In conclusion, the aseptic care is the test way of preventing peripheral infection as well as decreasing the puerperal morbidity. Therefore the most important nursing care is the aseptic care for each parturient during labor and delivery and peat delivery and also all the instruments must be cleaned and sterilized.