CAJ | 학술논문

目的通过资料分析新生儿病区医院感染特点、病原菌及危险因素,为新生儿病区医院感染预防控制提供依据,以期降低新生儿病区院内感染的发生.方法 2009年07月-2011年07月在我院新生儿病区住院新生儿603例,对新生儿医院感染情况进行统计分析.结果 603例新生儿中发生58次医院感染,发生率为9.62％,感染部位居前三位的是呼吸道、皮肤粘膜及脐部、胃肠道,分别为53.45％、31.03％、15.52％.感染致病菌以肺炎克雷伯菌为主,占36％.结论胎龄小、体重低、住院时间长、侵入性操作等是新生儿医院感染的危险因素,通过采取加强教育、加强呼吸道管理、基础护理、合理使用抗生素、强调洗手、加强全面消毒等措施,可降低医院感染发生率.
목적 통과자료분석신생인병구의원감염특점、병원균급위험인소,위신생인병구의원감염예방공제제공의거,이기강저신생인병구원내감염적발생.방법 2009년07월-2011년07월재아원신생인병구주원신생인603례,대신생인의원감염정황진행통계분석.결과 603례신생인중발생58차의원감염,발생솔위9.62％,감염부위거전삼위적시호흡도、피부점막급제부、위장도,분별위53.45％、31.03％、15.52％.감염치병균이폐염극뢰백균위주,점36％.결론 태령소、체중저、주원시간장、침입성조작등시신생인의원감염적위험인소,통과채취가강교육、가강호흡도관리、기출호리、합리사용항생소、강조세수、가강전면소독등조시,가강저의원감염발생솔.
Objective To analyze the nosocomial infection characteristics,pathogenic bacteria and relative risk factors,in order to provide the basis for preventing and controlling nosocomial infection,and to reduce the incidence of nosocomial infection in neonatal wards.Methods The study enrolled 603 neonatal patients hospitalized between July 2009 to July 2011.Results There were 58 nosocomial infection cases found in 603 neonatal patients, and the infection rate was 9.62 ％.The most common infections were respiratory tract infection,oral infections and gastrointestinal tract infection,with proportion rate of 53.45％,31.03％ and 15.52％ respectively.The main pathogenic bacteria was Klebsiella pneumoniae,accounting for 36％.Conclusions The lower gestational age and birth weight,bigger length of hospital stay and invasive operation are risk factors of nosocomial infection.We can reduce nosocomial infections through strengthening education,enhancing respiratory tract management,primary care,reasonable use of antibiotics,emphasizing washing hands,and strengthening comprehensive disinfection measures,.