CAJ | 학술논문

目的：探讨手足口病住院患儿合并医院感染的临床特征及干预措施。方法：采用流行病学回顾性调查方法与临床前瞻性调查方法结合统计手足口病病房2012年1～12月住院的1512例患儿中医院感染率、感染部位、病原送检率及易感因素。结果：1512例住院患儿中发生医院感染72例（4．77％）；年龄＜3岁50例（69．44％）；呼吸道感染44例（61．11％）、胃肠道感染18例（25．00％）、口腔霉菌1例（1．39％）、其他9例（12．50％）；进行病原菌检查47例，病原送检率达65．28％，检出病原菌53株；年龄小、合并其他疾病、侵入性操作、病程中应用激素、住院时间长是医院感染易感因素。结论：手足口病住院患儿合并医院感染发生率较高，应针对各种相关因素采取有效干预措施，以减少医院感染发生率，降低患儿病死率。
목적：탐토수족구병주원환인합병의원감염적림상특정급간예조시。방법：채용류행병학회고성조사방법여림상전첨성조사방법결합통계수족구병병방2012년1～12월주원적1512례환인중의원감염솔、감염부위、병원송검솔급역감인소。결과：1512례주원환인중발생의원감염72례（4．77％）；년령＜3세50례（69．44％）；호흡도감염44례（61．11％）、위장도감염18례（25．00％）、구강매균1례（1．39％）、기타9례（12．50％）；진행병원균검사47례，병원송검솔체65．28％，검출병원균53주；년령소、합병기타질병、침입성조작、병정중응용격소、주원시간장시의원감염역감인소。결론：수족구병주원환인합병의원감염발생솔교고，응침대각충상관인소채취유효간예조시，이감소의원감염발생솔，강저환인병사솔。
Objective :To discuss the clinical features in children with hand -foot -mouth disease (HFMD) complicated with nosocomial infection and explore intervention measures .Methods :The data of 1512 children (admitted to hospital from January to December 2012) were retrospectively and prospectively studied ,including nosocomial infection rate ,infection site ,lab test rate of pathogen and predisposing factors .Results :In total 1512 hospitalized children ,nosocomial infection occurred in 72 children (4 . 77% ) and 50 of them were below 3 years old (69 .44% );respiratory tract infection in 44 children (61 .11% );gastrointestinal tract infection in 18 children (25% );oral cavity fungus infection in one child (1 .39% );other infection in 9 patients (12 .50% ) .The lab test of pathogenic bacteria was made in 47 patients and the test rate was 65 .28% .53 strains of pathogenic bacteria were detected . Younger ,HFMD associated with other diseases ,invasive procedure ,use of hormone and long hospitalization were the predisposing factors of nosocomial infection .Conclusion :The incidence of nosocomial infection is higher in hospitalized children with HFMD and effective intervention measures should be taken to reduce the infection rate so as to decrease the fatality rate of the children .