中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
CHINESE JOURNAL OF INFECTION CONTROL
2015年
1期
45-47
,共3页
新生儿%医院感染%目标性监测%医院管理
新生兒%醫院感染%目標性鑑測%醫院管理
신생인%의원감염%목표성감측%의원관리
newborn%healthcare-associated infection%targeted surveillance%hospital management
目的:了解某院新生儿科医院感染情况,为更好地控制新生儿医院感染提供参考依据。方法采用前瞻性调查方法,对2011年1月—2013年12月某院新生儿科住院的所有新生儿进行目标性监测。结果共监测新生儿5365例,发生医院感染128例,133例次,医院感染率为2.39%,例次感染率为2.48%。医院感染部位以眼结膜居首位,占33.08%,其次是上呼吸道、皮肤及软组织,分别占23.31%和17.29%。新生儿日感染率为3.32‰(128/38528),血管导管使用率为1.75%(676/38528),呼吸机使用率为1.09%(420/38528)。不同体重组新生儿血管导管使用率、呼吸机使用率比较,差异均有统计学意义(χ2值分别为3075.22、442.46,均 P <0.01)。体重≤1000 g、1001~1500 g、1501~2500 g、>2500 g 各组新生儿医院感染率分别为16.67%、12.26%、4.15%、1.06%。新生儿均未发生导管相关性血流感染,且其呼吸机相关性肺炎发病率仅为4.76‰(2/420)。共送检标本51份,检出病原菌27株,以革兰阳性菌为主(占55.56%)。结论低体重新生儿医院感染发病率较高;新生儿感染部位以眼部、上呼吸道、皮肤及软组织为主。
目的:瞭解某院新生兒科醫院感染情況,為更好地控製新生兒醫院感染提供參攷依據。方法採用前瞻性調查方法,對2011年1月—2013年12月某院新生兒科住院的所有新生兒進行目標性鑑測。結果共鑑測新生兒5365例,髮生醫院感染128例,133例次,醫院感染率為2.39%,例次感染率為2.48%。醫院感染部位以眼結膜居首位,佔33.08%,其次是上呼吸道、皮膚及軟組織,分彆佔23.31%和17.29%。新生兒日感染率為3.32‰(128/38528),血管導管使用率為1.75%(676/38528),呼吸機使用率為1.09%(420/38528)。不同體重組新生兒血管導管使用率、呼吸機使用率比較,差異均有統計學意義(χ2值分彆為3075.22、442.46,均 P <0.01)。體重≤1000 g、1001~1500 g、1501~2500 g、>2500 g 各組新生兒醫院感染率分彆為16.67%、12.26%、4.15%、1.06%。新生兒均未髮生導管相關性血流感染,且其呼吸機相關性肺炎髮病率僅為4.76‰(2/420)。共送檢標本51份,檢齣病原菌27株,以革蘭暘性菌為主(佔55.56%)。結論低體重新生兒醫院感染髮病率較高;新生兒感染部位以眼部、上呼吸道、皮膚及軟組織為主。
목적:료해모원신생인과의원감염정황,위경호지공제신생인의원감염제공삼고의거。방법채용전첨성조사방법,대2011년1월—2013년12월모원신생인과주원적소유신생인진행목표성감측。결과공감측신생인5365례,발생의원감염128례,133례차,의원감염솔위2.39%,례차감염솔위2.48%。의원감염부위이안결막거수위,점33.08%,기차시상호흡도、피부급연조직,분별점23.31%화17.29%。신생인일감염솔위3.32‰(128/38528),혈관도관사용솔위1.75%(676/38528),호흡궤사용솔위1.09%(420/38528)。불동체중조신생인혈관도관사용솔、호흡궤사용솔비교,차이균유통계학의의(χ2치분별위3075.22、442.46,균 P <0.01)。체중≤1000 g、1001~1500 g、1501~2500 g、>2500 g 각조신생인의원감염솔분별위16.67%、12.26%、4.15%、1.06%。신생인균미발생도관상관성혈류감염,차기호흡궤상관성폐염발병솔부위4.76‰(2/420)。공송검표본51빈,검출병원균27주,이혁란양성균위주(점55.56%)。결론저체중신생인의원감염발병솔교고;신생인감염부위이안부、상호흡도、피부급연조직위주。
Objective To investigate healthcare-associated infection (HAI)in neonatal intensive care unit(NICU),and provide reference for controlling HAI in newborns.Methods Targeted surveillance on HAI in all newborns in NICU of a hospital from January 2011 to December 2013 was performed by prospective investigation method.Results A total of 5 365 newborns were monitored,128 newborns developed 133 times of HAI,HAI rate and HAI case rate was 2.39% and 2.48% respectively.The major infection sites were conjunctiva (33.08%),upper respiratory tract (23.31%)and skin soft tissue (17.29%).The daily infection rate was 3.32‰(128/38 528),vascular catheter usage rate and respirator usage rate was 1.75%(676/38 528)and 1.09%(420/38 528)respectively.The difference in vascular catheter usage rate and res-pirator usage rate in newborns with different body weight had statistical difference (χ2 =3 075.22;442.46,both P <0.01).HAI in newborns with body weight of ≤1 000 g,1 001-1 500 g,1 501-2 500 g,and >2 500 g was 16.67%, 12.26%,4.15% and 1.06% respectively.None newborns developed catheter-related bloodstream infection(CRBSI),the incidence of ventilator-associated pneumonia (VAP )was only 4.76‰(2/420).A total of 51 specimens were sent for de-tection,27 pathogens were isolated,the major were gram-positive bacteria(55.56%).Conclusion The incidence of HAI in newborns is high,the main infection sites are eye,upper respiratory tract,and skin and soft tissue.