中国护理管理
中國護理管理
중국호리관리
CHINESE NURSING MANAGEMENT
2013年
11期
73-74,75
,共3页
新生儿%医院感染%危险因素%预防对策
新生兒%醫院感染%危險因素%預防對策
신생인%의원감염%위험인소%예방대책
neonates%nosocomial infection%risk factors%countermeasures
目的:调查并分析新生儿科医院感染的发生率及其影响因素,从而为制定有效的防控对策提供依据。方法:采用回顾性调查收集2012年新生儿科所有住院患者的临床资料,并采用Logistic回归分析探讨医院感染发生的影响因素。结果:2568例新生儿发生医院感染69例,医院感染发生率为2.69%;医院感染部位分布占前3位的分别为下呼吸道感染、胃肠道感染和上呼吸道感染;多因素非条件Logistic回归分析结果显示,胎龄<37周、使用呼吸机及住院时间≥7d为新生儿发生医院感染的危险因素。结论:应建立健全各项医院感染管理规章制度,加强医院感染知识培训,加强早产儿管理,严格规范侵入性操作与抗生素的使用,严格执行手卫生,从而降低新生儿科医院感染,保证患儿安全。
目的:調查併分析新生兒科醫院感染的髮生率及其影響因素,從而為製定有效的防控對策提供依據。方法:採用迴顧性調查收集2012年新生兒科所有住院患者的臨床資料,併採用Logistic迴歸分析探討醫院感染髮生的影響因素。結果:2568例新生兒髮生醫院感染69例,醫院感染髮生率為2.69%;醫院感染部位分佈佔前3位的分彆為下呼吸道感染、胃腸道感染和上呼吸道感染;多因素非條件Logistic迴歸分析結果顯示,胎齡<37週、使用呼吸機及住院時間≥7d為新生兒髮生醫院感染的危險因素。結論:應建立健全各項醫院感染管理規章製度,加彊醫院感染知識培訓,加彊早產兒管理,嚴格規範侵入性操作與抗生素的使用,嚴格執行手衛生,從而降低新生兒科醫院感染,保證患兒安全。
목적:조사병분석신생인과의원감염적발생솔급기영향인소,종이위제정유효적방공대책제공의거。방법:채용회고성조사수집2012년신생인과소유주원환자적림상자료,병채용Logistic회귀분석탐토의원감염발생적영향인소。결과:2568례신생인발생의원감염69례,의원감염발생솔위2.69%;의원감염부위분포점전3위적분별위하호흡도감염、위장도감염화상호흡도감염;다인소비조건Logistic회귀분석결과현시,태령<37주、사용호흡궤급주원시간≥7d위신생인발생의원감염적위험인소。결론:응건립건전각항의원감염관리규장제도,가강의원감염지식배훈,가강조산인관리,엄격규범침입성조작여항생소적사용,엄격집행수위생,종이강저신생인과의원감염,보증환인안전。
Objective:To investigate the rate of nosocomial infection of neonates and analyze relative risk factors, thus to provide evidence for effective countermeasures. Methods:Retrospective investigation was used to analyze the whole hospitalized neonates in 2012.Results:In all the 2568 neonatal cases, 69 had nosocomial infection, and the infection rate was 2.69%. The major distribution of the nosocomial infection was respiratory tract infection, digestive tract infection. Logistic regression analysis showed that gestational age less than 37 weeks, using breathing machine, and length of hospital stay more than 7 days were risk factors for neonatal nosocomial infection. Conclusion:We should establish the nosocomial infection management rules and regulations, strengthen the knowledge training, and enhance the management of preterm infants. Invasive operation, the use of antibiotics and hand hygiene should also be strictly regulated. Only in this way can we reduce the nosocomial infection and guarantee the neonates' safety.