中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
23期
33-34
,共2页
内感染%病原菌%感染因素
內感染%病原菌%感染因素
내감염%병원균%감염인소
Nosocomial infections%Pathogens%Infection factors
目的：通过对新生儿重症监护室（NICU）院内感染患儿的回顾性分析，分析院内感染的病原菌及感染因素。方法对2009年1月—2013年10月该院NICU院内感染的98名病例进行回顾性分析。结果在此期间该院NICU共收治患儿2056例，有98例发生院内感染，病原菌培养52例阳性，其中革兰阴性菌42（80.8%）例，革兰阳性菌10（19.2%）例，其中肺炎克雷伯菌19（36.5%）例，大肠埃希菌13（25.0%）例，铜绿假单胞菌6（11.5%）例，鲍氏不动杆菌2（3.8%）例，阴沟肠杆菌2（3.8%）例，表皮葡萄球菌5（9.6%）例，溶血葡萄球菌3（5.8%）例，肠球菌2（3.8%）例，出生时胎龄、出生时体重、住院时间和气管插管是主要的感染因素。结论NICU中患儿院内感染主要病原菌为革兰阴性菌，早产儿、低体重儿、住院时间长和进行气管插管是主要的感染因素。
目的：通過對新生兒重癥鑑護室（NICU）院內感染患兒的迴顧性分析，分析院內感染的病原菌及感染因素。方法對2009年1月—2013年10月該院NICU院內感染的98名病例進行迴顧性分析。結果在此期間該院NICU共收治患兒2056例，有98例髮生院內感染，病原菌培養52例暘性，其中革蘭陰性菌42（80.8%）例，革蘭暘性菌10（19.2%）例，其中肺炎剋雷伯菌19（36.5%）例，大腸埃希菌13（25.0%）例，銅綠假單胞菌6（11.5%）例，鮑氏不動桿菌2（3.8%）例，陰溝腸桿菌2（3.8%）例，錶皮葡萄毬菌5（9.6%）例，溶血葡萄毬菌3（5.8%）例，腸毬菌2（3.8%）例，齣生時胎齡、齣生時體重、住院時間和氣管插管是主要的感染因素。結論NICU中患兒院內感染主要病原菌為革蘭陰性菌，早產兒、低體重兒、住院時間長和進行氣管插管是主要的感染因素。
목적：통과대신생인중증감호실（NICU）원내감염환인적회고성분석，분석원내감염적병원균급감염인소。방법대2009년1월—2013년10월해원NICU원내감염적98명병례진행회고성분석。결과재차기간해원NICU공수치환인2056례，유98례발생원내감염，병원균배양52례양성，기중혁란음성균42（80.8%）례，혁란양성균10（19.2%）례，기중폐염극뢰백균19（36.5%）례，대장애희균13（25.0%）례，동록가단포균6（11.5%）례，포씨불동간균2（3.8%）례，음구장간균2（3.8%）례，표피포도구균5（9.6%）례，용혈포도구균3（5.8%）례，장구균2（3.8%）례，출생시태령、출생시체중、주원시간화기관삽관시주요적감염인소。결론NICU중환인원내감염주요병원균위혁란음성균，조산인、저체중인、주원시간장화진행기관삽관시주요적감염인소。
Objective To analyze the pathogens and infection factors related to nosocomial infection by analyzing the children with nosocomial infection in the neonatal intensive care unit (NICU) retrospectively. Methods 98 cases with nosocomial infection in the NICU of our hospital from January, 2009 to October, 2013 were analyzed retrospectively. Results During this period there were a total of 2056 children treated in the NICU of our hospital, of them, 98 cases had nosocomial infection, and there were 52 cases with culture-positive bacteria, including 42 patients (80.8%) with Gram-negative bacteria, 10(19.2%) patients with Gram-positive bacteria. Of the patients with Gram-negative bacteria, there were 19 cases (36.5%) of klebsiella pneumoniae, 13 cases (25.0%) of Escherichia coli, 6 cases(11.5%) of pseudomonas aeruginosa, 2 cases (3.8%) of acinetobacter baumannii, 2 cases(3.8%) of enter-obacter cloacae, 5 cases(9.6%) of taphylococcus epidermidis, 3 cases(5.8%) of staphylococcus haemolyticus, 2 cases(3.8%) of ente-rococcus. The gestational age at birth, birth weight, length of stay and intubation were the major infection factors. Conclusion The main pathogens of the nosocomial infection in the NICU are Gram-negative bacteria, premature infants, low birth weight infants, long-term hospitalization and intubation are the main infection factors.
