中华医院感染学杂志
中華醫院感染學雜誌
중화의원감염학잡지
Chinese Journal of Nosocomiology
2015年
10期
2346-2347,2353
,共3页
袁洪斌%吕俊%易平枝%范植全%陶玉源
袁洪斌%呂俊%易平枝%範植全%陶玉源
원홍빈%려준%역평지%범식전%도옥원
患儿%支气管哮喘%医院感染%影响因素
患兒%支氣管哮喘%醫院感染%影響因素
환인%지기관효천%의원감염%영향인소
Child%Bronchial asthma%Nosocomial infection%Influencing factor
目的：探讨支气管哮喘患儿医院感染相关因素及防治措施，为减少患儿医院感染提供理论依据。方法选取医院2012年1月－2014年7月收治的110例支气管哮喘患儿，其中32例发生医院感染，对患儿进行回顾性分析，研究支气管哮喘患儿医院感染的相关影响因素，并总结防治措施。结果110例支气管哮喘患儿发生医院感染32例，感染率为29．09％，感染部位以下呼吸道和泌尿道感染为主，分别占46．88％和18．75％；单因素分析显示，住院时间、病程、侵入性操作、不规范使用抗菌药物与支气管哮喘患儿医院感染的发生具有相关性（P＜0．05），进一步行多因素 logistic回归分析，住院时间长、病程长、侵入性操作、不规范使用抗菌药物是支气管哮喘患儿发生医院感染的独立危险因素（P＜0．05）。结论支气管哮喘患儿发生医院感染的影响因素众多，根据影响因素进行针对性干预，可有效降低医院感染的发生。
目的：探討支氣管哮喘患兒醫院感染相關因素及防治措施，為減少患兒醫院感染提供理論依據。方法選取醫院2012年1月－2014年7月收治的110例支氣管哮喘患兒，其中32例髮生醫院感染，對患兒進行迴顧性分析，研究支氣管哮喘患兒醫院感染的相關影響因素，併總結防治措施。結果110例支氣管哮喘患兒髮生醫院感染32例，感染率為29．09％，感染部位以下呼吸道和泌尿道感染為主，分彆佔46．88％和18．75％；單因素分析顯示，住院時間、病程、侵入性操作、不規範使用抗菌藥物與支氣管哮喘患兒醫院感染的髮生具有相關性（P＜0．05），進一步行多因素 logistic迴歸分析，住院時間長、病程長、侵入性操作、不規範使用抗菌藥物是支氣管哮喘患兒髮生醫院感染的獨立危險因素（P＜0．05）。結論支氣管哮喘患兒髮生醫院感染的影響因素衆多，根據影響因素進行針對性榦預，可有效降低醫院感染的髮生。
목적：탐토지기관효천환인의원감염상관인소급방치조시，위감소환인의원감염제공이론의거。방법선취의원2012년1월－2014년7월수치적110례지기관효천환인，기중32례발생의원감염，대환인진행회고성분석，연구지기관효천환인의원감염적상관영향인소，병총결방치조시。결과110례지기관효천환인발생의원감염32례，감염솔위29．09％，감염부위이하호흡도화비뇨도감염위주，분별점46．88％화18．75％；단인소분석현시，주원시간、병정、침입성조작、불규범사용항균약물여지기관효천환인의원감염적발생구유상관성（P＜0．05），진일보행다인소 logistic회귀분석，주원시간장、병정장、침입성조작、불규범사용항균약물시지기관효천환인발생의원감염적독립위험인소（P＜0．05）。결론지기관효천환인발생의원감염적영향인소음다，근거영향인소진행침대성간예，가유효강저의원감염적발생。
OBJECTIVE To explore the related factors for nosocomial infections in children with bronchial asthma and put forward prevention measures so as to provide theoretical basis for reduction of incidence of nosocomial in‐fections .METHODS A total of 110 children with bronchial asthma who were treated from Jan 2012 to Jul 2014 were enrolled in the study ,including 32 cases of nosocomial infections .The retrospective survey was conducted to investigate the related factors for the nosocomial infections in the children with bronchial asthma ,and the preven‐tion measures were put forward .RESULTS The nosocomial infections occurred in 32 of 110 children with bronchial asthma ,with the infection rate of 29 .09% .Of the children with nosocomial infections ,46 .88% had the lower re‐spiratory tract infections ,and 18 .75% had the urinary tract infections .The univariate analysis indicated that the incidence of nosocomial infections was associated with the length of hospital stay ,course of disease ,invasive oper‐ation ,and unreasonable use of antibiotics (P<0 .05);the multivariate logistic regression analysis further revealed that the long length of hospital stay ,long course of disease ,invasive operation ,and unreasonable use of antibiotics were the independent risk factors for the nosocomial infections in the children with bronchial asthma (P<0 .05) . CONCLUSION There are a variety of influencing factors for the nosocomial infections in the children with bronchial asthma .It is an effective way to take interventions according to the influencing factors so as to reduce the incidence of nosocomial infections .
