中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
2期
102-104
,共3页
新生儿重症监护病房%医院感染%危险因素
新生兒重癥鑑護病房%醫院感染%危險因素
신생인중증감호병방%의원감염%위험인소
Neonatal intensive care unit%Nosocomial infection%Risk factors
目的：探讨新生儿重症监护病房（NICU）医院感染相关的危险因素，研究其预防策略，为有效降低医院感染率提供科学依据。方法：采用回顾性调查方法，对2013年1-12月1026例新生儿科住院患儿的医院感染发生率、感染部位及病原菌进行统计分析。结果：共监测NICU患儿1026例，发生医院感染23例，26例次，医院感染率2.24%、例次感染率2.53%、日感染发病率2.73‰，感染率与出生体重密切相关；感染部位以血液系统、下呼吸道为主，分别占26.92%，23.08%；呼吸机使用率和呼吸机相关肺炎发生率为2.61%和22.73‰。结论：通过目标性监测有利于分析医院感染的高危因素，制定有效的医院感染预防与控制措施。
目的：探討新生兒重癥鑑護病房（NICU）醫院感染相關的危險因素，研究其預防策略，為有效降低醫院感染率提供科學依據。方法：採用迴顧性調查方法，對2013年1-12月1026例新生兒科住院患兒的醫院感染髮生率、感染部位及病原菌進行統計分析。結果：共鑑測NICU患兒1026例，髮生醫院感染23例，26例次，醫院感染率2.24%、例次感染率2.53%、日感染髮病率2.73‰，感染率與齣生體重密切相關；感染部位以血液繫統、下呼吸道為主，分彆佔26.92%，23.08%；呼吸機使用率和呼吸機相關肺炎髮生率為2.61%和22.73‰。結論：通過目標性鑑測有利于分析醫院感染的高危因素，製定有效的醫院感染預防與控製措施。
목적：탐토신생인중증감호병방（NICU）의원감염상관적위험인소，연구기예방책략，위유효강저의원감염솔제공과학의거。방법：채용회고성조사방법，대2013년1-12월1026례신생인과주원환인적의원감염발생솔、감염부위급병원균진행통계분석。결과：공감측NICU환인1026례，발생의원감염23례，26례차，의원감염솔2.24%、례차감염솔2.53%、일감염발병솔2.73‰，감염솔여출생체중밀절상관；감염부위이혈액계통、하호흡도위주，분별점26.92%，23.08%；호흡궤사용솔화호흡궤상관폐염발생솔위2.61%화22.73‰。결론：통과목표성감측유리우분석의원감염적고위인소，제정유효적의원감염예방여공제조시。
Objective:To discuss the risk factors of nosocomial infection in NICU,study its preventive strategies, and provide scientific basis for reducing the nosocomial infection rates.Method: A statistical analysis of the infection rate, infective sites and pathogens of nosocomial infection among 1026 cases of neonatal inpatients in our hospital from January 2013 to December 2013 was performed with retrospective analysis method.Result: Among 1026 neonates under the surveillance, there were 23 infection cases and 26 infection times. The nosocomial infection rate was 2.24%, the case time infection rate was 2.53%, and the daily infection rate was 2.73‰.We found that the infection rate was related to the birth weight. Furthermore, the lower respiratory tract and hematological system were the predominant infection sites, which accounted for 26.92% and 23.08%, respectively. Among all the cases, the application rate of ventilator was 2.61% , and the incidence rate of ventilator-associated pneumonia was 22.73‰.Conclusion:The targeted surveillance is conducive to analyze the high-risk factors of nosocomial infection and to put forward effective prevention and control measures for nosocomial infection.
