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
8期
1896-1897,1900
,共3页
张永芹%聂军华%葛丽燕%王家声
張永芹%聶軍華%葛麗燕%王傢聲
장영근%섭군화%갈려연%왕가성
新生儿%医院感染%危险因素%预防措施
新生兒%醫院感染%危險因素%預防措施
신생인%의원감염%위험인소%예방조시
Newborns%Hospital infection%Risk factors%Prevention measures
目的：研究新生儿医院感染的危险因素，分析控制预防措施，指导临床控制和预防新生儿医院感染的发生。方法选取2011年10月－2013年10月新生儿共868例，详细记录新生儿的各项资料，观察和记录新生儿医院感染部位，研究新生儿医院感染的危险因素，采用Excel 2007进行统计分析。结果共868例新生儿，发生感染82例，感染率为9．45％；感染部位以肺部为主，共35例占42．68％；82例感染的新生儿共培养出病原菌88株，以革兰阴性菌为主，共52株占59．09％；相关因素分析显示，高龄产妇、剖宫产新生儿、住IC U及母婴同室、新生儿住院时间长、新生儿置暖箱、反复吸痰、安置导尿管、早产、羊水污染、未应用抗菌药物预防等是新生儿医院感染的危险因素（P＜0．05）。结论新生儿医院感染率高，临床应依据新生儿医院感染发生的危险因素，采取措施控制新生儿医院感染的发生。
目的：研究新生兒醫院感染的危險因素，分析控製預防措施，指導臨床控製和預防新生兒醫院感染的髮生。方法選取2011年10月－2013年10月新生兒共868例，詳細記錄新生兒的各項資料，觀察和記錄新生兒醫院感染部位，研究新生兒醫院感染的危險因素，採用Excel 2007進行統計分析。結果共868例新生兒，髮生感染82例，感染率為9．45％；感染部位以肺部為主，共35例佔42．68％；82例感染的新生兒共培養齣病原菌88株，以革蘭陰性菌為主，共52株佔59．09％；相關因素分析顯示，高齡產婦、剖宮產新生兒、住IC U及母嬰同室、新生兒住院時間長、新生兒置暖箱、反複吸痰、安置導尿管、早產、羊水汙染、未應用抗菌藥物預防等是新生兒醫院感染的危險因素（P＜0．05）。結論新生兒醫院感染率高，臨床應依據新生兒醫院感染髮生的危險因素，採取措施控製新生兒醫院感染的髮生。
목적：연구신생인의원감염적위험인소，분석공제예방조시，지도림상공제화예방신생인의원감염적발생。방법선취2011년10월－2013년10월신생인공868례，상세기록신생인적각항자료，관찰화기록신생인의원감염부위，연구신생인의원감염적위험인소，채용Excel 2007진행통계분석。결과공868례신생인，발생감염82례，감염솔위9．45％；감염부위이폐부위주，공35례점42．68％；82례감염적신생인공배양출병원균88주，이혁란음성균위주，공52주점59．09％；상관인소분석현시，고령산부、부궁산신생인、주IC U급모영동실、신생인주원시간장、신생인치난상、반복흡담、안치도뇨관、조산、양수오염、미응용항균약물예방등시신생인의원감염적위험인소（P＜0．05）。결론신생인의원감염솔고，림상응의거신생인의원감염발생적위험인소，채취조시공제신생인의원감염적발생。
OBJECTIVE To analyze the risk factors and prevention measures of infections in newborns ,and provide some knowledge for preventing the occurrence of infections in newborns .METHODS Totally 868 cases of newbo‐rns during Oct .2011 to Oct .2013 were chosen ,and data were recorded in details .The infection sites were ob‐served and recorded .The risk factors of infections in newborns were studied by comparing the infected and un‐in‐fected newborns .The software Excel 2007 was used for statistical analysis .RESULTS Infections occurred in 82 out of 868 newborns ,the infection rate was 9 .45% .The main infected site was lung (35 cases ,42 .68% ) .Total‐ly 88 pathogenic strains were cultured from the 82 infected newborns ,mainly including gram negative bacteria (52 strains ,59 .09% ) .The relevant factor analysis showed advanced maternal age ,caesarean section ,ICU stay and direct rooming‐in ,long hospitalization duration of newborns ,neonatal incubator ,repeated suctioning ,placement of catheter ,premature delivery ,contaminated amniotic fluid ,no prophylactic application of antibiotics were risk factors of neonatal hospital infections (P<0 .05) .CONCLUSION The infection occurrence rate in newborns was high ,and prevention measures should be taken according to the risk factors of hospital infections in newborns to prevent the occurrence of hospital infections .
