CAJ | 학술논문

目的：分析新生儿病房院内感染的危险因素，提出防范措施。方法：对住院458例危重新生儿中的院内感染的临床病例资料，采用回顾性分析，采取相应的防范措施。结果：通过增强医护人员的院内感染知识，制订和完善新生儿院内感染管理制度，严格执行消毒隔离制度，严格掌握侵入性操作的适应证，合理使用抗生素，并增强新生儿的管理，如改进探视制度，尽早建立肠内营养加强新生儿的基础护理等。结论：加强督促落实，采取有效措施、严格控制、定期督查监测，及时发现、解决整改，有效地防范新生儿院内感染的发生，就可有效控制院内感染的发生率。
목적：분석신생인병방원내감염적위험인소，제출방범조시。방법：대주원458례위중신생인중적원내감염적림상병례자료，채용회고성분석，채취상응적방범조시。결과：통과증강의호인원적원내감염지식，제정화완선신생인원내감염관리제도，엄격집행소독격리제도，엄격장악침입성조작적괄응증，합리사용항생소，병증강신생인적관리，여개진탐시제도，진조건립장내영양가강신생인적기출호리등。결론：가강독촉락실，채취유효조시、엄격공제、정기독사감측，급시발현、해결정개，유효지방범신생인원내감염적발생，취가유효공제원내감염적발생솔。
Objective:To analyze infection risk factors in neonatal ward of hospital and put forward to preventive measures ,Methods:458 inpatients cases of clinical data of hospital infection in critically ill newborns , using retrospective analysis , formulate the corresponding preventive measures , in order to reduce the occurrence of hospital infection .Results:27 cases hospital infection occurred in 458 cases of severe ill neonatal ;5.90%incidence of hospital infection , the gram-negative bacillus (71.67%), klebsiella pneumoniae in the most rare;Risk factors were:small gestational age, low birth weight, and Apgar score in 0 ~7 points, long hospitalization time, catheter time, repeatedly in invasive operation and the unreasonable use of antimicrobial drugs .Conclusion:Small gestational age , low birth weight, and Apgar score in 0 ~7 points, long hospitalization time, catheter time, repeatedly in invasive operation and unreasonable use of antimicrobial drugs might be neonatal ward risk factors of hospital infection , and take the implementation of disinfection and isolation system strictly , strict hand in its , strict aseptic operation , careful invasive operation , standard use of antibiotics and other measures , can reduce the occurrence of hospital infection .