Obstetric epidural catheter-related infections at a major teaching hospital: a retrospective case series

作者: L.K. Green , M.J. Paech

DOI: 10.1016/J.IJOA.2009.06.001

关键词:

摘要: Abstract Background Clinically overt infections of the epidural catheter skin entry site occur in approximately 1-5% patients after a few days catheterization but serious complications such as deep tissue infection or abscess appear rare obstetric population. In recent years, sporadic reports and small series suggest that incidence may be higher than previously estimated. Methods A retrospective chart review was conducted to identify catheter-related occurring between January 2002 December 2005 tertiary referral maternity hospital delivering 4000 6000 women per annum. Cases were identified using International Statistical Classification Diseases coding. Results total 9482 (52.8%) who delivered had an inserted. There 258 cases with relevant code 49 (0.52%, 95% CI 0.37-0.66%) infection. Four (incidence 0.04%, 0.01-0.11%; rate 1 4741), represented by paraspinous formation both 0.02%, 0-0.08%; 2371). Three are described. Conclusions Serious is rare, our at upper extreme figures quoted other studies.

参考文章(38)
J. M. Mulvey, Postpartum septic sacroiliitis coincident with labour epidural analgesia. Anaesthesia and Intensive Care. ,vol. 36, pp. 875- 878 ,(2008) , 10.1177/0310057X0803600621
V. Raj, J. Foy, Paraspinal abscess associated with epidural in labour. Anaesthesia and Intensive Care. ,vol. 26, pp. 424- 426 ,(1998) , 10.1177/0310057X9802600414
Joaqu??n Hern??ndez-Palaz??n, J. Pablo Puertas-Garc??a, Juan F. Mart??nez-Lage, Jos?? A. Tortosa, Lumbar spondylodiscitis caused by Propionibacterium acnes after epidural obstetric analgesia. Anesthesia & Analgesia. ,vol. 96, pp. 1486- 1488 ,(2003) , 10.1213/01.ANE.0000055819.35383.D3
R. Burstal, F. Wegener, C. Hayes, G. Lantry, Epidural Analgesia: Prospective Audit of 1062 Patients: Anaesthesia and Intensive Care. ,vol. 26, pp. 165- 172 ,(1998) , 10.1177/0310057X9802600206
J. S. Hill, E. W. Hughes, P. A. Robertson, A Staphylococcus aureus paraspinal abscess associated with epidural analgesia in labour Anaesthesia. ,vol. 56, pp. 873- 878 ,(2001) , 10.1046/J.1365-2044.2001.02130-2.X
C. Kindler, M. Seeberger, M. Siegemund, M. Schneider, Extradural abscess complicating lumbar extradural anaesthesia and analgesia in an obstetric patient Acta Anaesthesiologica Scandinavica. ,vol. 40, pp. 858- 861 ,(1996) , 10.1111/J.1399-6576.1996.TB04546.X
David J Birnbach, Marcelle Hernandez, André AJ van Zundert, Neurologic complications of neuraxial analgesia for labor. Current Opinion in Anesthesiology. ,vol. 18, pp. 513- 517 ,(2005) , 10.1097/01.ACO.0000182558.86938.A0
Y.Y. Huang, Z. Zuo, H.B. Yuan, M.Y. Tsou, M.T. Chen, S.K. Tsai, A paraspinal abscess following spinal anaesthesia for caesarean section and patient-controlled epidural analgesia for postoperative pain International Journal of Obstetric Anesthesia. ,vol. 14, pp. 252- 255 ,(2005) , 10.1016/J.IJOA.2005.03.001
Mary Louise Hlavin, Henry J. Kaminski, Jeffery S. Ross, Edward Ganz, Spinal epidural abscess: a ten-year perspective. Neurosurgery. ,vol. 27, pp. 177- 184 ,(1990) , 10.1227/00006123-199008000-00001