吴琼芳, 张秀平, 高群, 黄娟, 梁琪伟, 徐心悦. 新生儿医院感染的危险因素分析与预防对策[J]. 蚌埠医科大学学报, 2021, 46(4): 537-539. DOI: 10.13898/j.cnki.issn.1000-2200.2021.04.028
    引用本文: 吴琼芳, 张秀平, 高群, 黄娟, 梁琪伟, 徐心悦. 新生儿医院感染的危险因素分析与预防对策[J]. 蚌埠医科大学学报, 2021, 46(4): 537-539. DOI: 10.13898/j.cnki.issn.1000-2200.2021.04.028
    WU Qiong-fang, ZHANG Xiu-ping, GAO Qun, HUANG Juan, LIANG Qi-wei, XU Xin-yue. Risk factors analysis and preventive measures of neonatal nosocomial infection[J]. Journal of Bengbu Medical University, 2021, 46(4): 537-539. DOI: 10.13898/j.cnki.issn.1000-2200.2021.04.028
    Citation: WU Qiong-fang, ZHANG Xiu-ping, GAO Qun, HUANG Juan, LIANG Qi-wei, XU Xin-yue. Risk factors analysis and preventive measures of neonatal nosocomial infection[J]. Journal of Bengbu Medical University, 2021, 46(4): 537-539. DOI: 10.13898/j.cnki.issn.1000-2200.2021.04.028

    新生儿医院感染的危险因素分析与预防对策

    Risk factors analysis and preventive measures of neonatal nosocomial infection

    • 摘要:
      目的分析某院新生儿病房引起医院感染相关危险因素,制定有效的预防控制措施。
      方法采用主动监测方法,对某院2020年1-6月入住新生儿病房的1 858例患儿资料进行目标性监测,对监测结果资料进行统计与分析,提出医院感染相应预防对策。
      结果1 858例中发生医院感染24例,27例次,医院感染发病率1.29%,例次医院感染发病率1.45%;医院感染部位以呼吸道感染为主,占44.44%,其次为血液感染,占37.04%;27例次医院感染病例共检出病原菌19株,以鲍曼不动杆菌为主(7株,占36.84%),其次是大肠埃希菌(4株,占21.05%)。不同性别患儿医院感染发病率差异无统计学意义(P>0.05)。新生儿气管插管组发生医院感染率高于非气管插管组(P<0.01),随着出生体质量增加,医院感染率降低(P<0.01)。
      结论低体质量儿和气管插管是新生儿医院感染的高危因素,因此在临床上要加强对新生儿病房的管理、严格无菌技术操作、掌握置管指征,并且对其危险因素采取预防措施,以减少医院感染的发生。

       

      Abstract:
      ObjectiveTo analyze the characteristics and related risk factors of nosocomial infection in the neonatal ward of a hospital, and formulate effective preventive and control measures.
      MethodsUsing the active monitoring method, the clinical data of 1 858 children hospitalized from January to June 2020 were subjectively monitored, and the monitoring results were statistically analyzed to put forward to corresponding preventive measures of nosocomial infection.
      ResultsAmong 1 858 neonatal cases, the nosocomial infection in 24 cases(27 times) was found, and the incidence rates of nosocomial infection case and time were 1.29% and 1.45%, respectively.The respiratory tract infection was the main infection(accounting for 44.44%), followed by blood infection(accounting for 37.04%).A total of 19 strains of pathogenic bacteria were detected in 27 times of nosocomial infection, mainly included Acinetobacter baumannii(7 strains, 36.84%), followed by Escherichia coli(4 strains, 21.05%).There was no statistical significance in the incidence rate of nosocomial infection among different gender children(P>0.05).The nosocomial infection rate in neonatal endotracheal intubation group was higher than that in non-endotracheal intubation group(P < 0.01).With the increasing of birth mass, the nosocomial infection rate decreased(P < 0.01).
      ConclusionsThe low-weight infants and endotracheal intubation are the high risk factors of neonatal nosocomial infection.Therefore, it is necessary to strengthen the management of neonatal ward, strictly operate aseptic technique, grasp the indication of catheterization and take preventive measures for its risk factors to reduce the incidence of nosocomial infection.

       

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