中国感染控制杂志
中國感染控製雜誌
중국감염공제잡지
Chinese Journal of Infection Control
2015年
11期
769-771
,共3页
印爱珍%马乐龙%邓莉%陈晓阳%唐安顺
印愛珍%馬樂龍%鄧莉%陳曉暘%唐安順
인애진%마악룡%산리%진효양%당안순
新生儿重症监护室%儿科重症监护室%儿童%医院感染%横断面调查%儿童医院
新生兒重癥鑑護室%兒科重癥鑑護室%兒童%醫院感染%橫斷麵調查%兒童醫院
신생인중증감호실%인과중증감호실%인동%의원감염%횡단면조사%인동의원
neonatal intensive care unit%pediatric intensive care unit%child%healthcare-associated infection%cross-sectional survey
目的:了解儿童医院不同科室医院感染现状,为有效防控儿童医院感染提供科学依据。方法采取床旁调查与住院病历调查相结合的方法,对2012—2014年每年某一日的住院患者进行医院感染现状调查,并对3年的调查资料进行统计分析。结果2012—2014年各年度医院感染现患率分别为6.52%、5.59%、5.85%,差异无统计学意义(χ2=1.02,P =0.60);3年平均医院感染现患率5.98%,各科室平均医院感染现患率比较差异有统计学意义(χ2=291.83,P <0.001),医院感染现患率居前4位的科室为血液内科(27.49%)、心胸外科(21.13%)、新生儿重症监护室(NICU,16.43%)、儿科重症监护室(PICU,12.76%);主要感染部位依次为下呼吸道(58.44%)、上呼吸道(22.63%)、胃肠道(6.58%);在检出的医院感染病原菌构成中,排在首位的是肺炎克雷伯菌(32株,占28.32%),其次为鲍曼不动杆菌和大肠埃希菌(各9株,各占7.96%),铜绿假单胞菌(7株,占6.19%)。结论重点加强医院感染高危科室的防控干预对降低儿童医院感染率具有重要意义。
目的:瞭解兒童醫院不同科室醫院感染現狀,為有效防控兒童醫院感染提供科學依據。方法採取床徬調查與住院病歷調查相結閤的方法,對2012—2014年每年某一日的住院患者進行醫院感染現狀調查,併對3年的調查資料進行統計分析。結果2012—2014年各年度醫院感染現患率分彆為6.52%、5.59%、5.85%,差異無統計學意義(χ2=1.02,P =0.60);3年平均醫院感染現患率5.98%,各科室平均醫院感染現患率比較差異有統計學意義(χ2=291.83,P <0.001),醫院感染現患率居前4位的科室為血液內科(27.49%)、心胸外科(21.13%)、新生兒重癥鑑護室(NICU,16.43%)、兒科重癥鑑護室(PICU,12.76%);主要感染部位依次為下呼吸道(58.44%)、上呼吸道(22.63%)、胃腸道(6.58%);在檢齣的醫院感染病原菌構成中,排在首位的是肺炎剋雷伯菌(32株,佔28.32%),其次為鮑曼不動桿菌和大腸埃希菌(各9株,各佔7.96%),銅綠假單胞菌(7株,佔6.19%)。結論重點加彊醫院感染高危科室的防控榦預對降低兒童醫院感染率具有重要意義。
목적:료해인동의원불동과실의원감염현상,위유효방공인동의원감염제공과학의거。방법채취상방조사여주원병력조사상결합적방법,대2012—2014년매년모일일적주원환자진행의원감염현상조사,병대3년적조사자료진행통계분석。결과2012—2014년각년도의원감염현환솔분별위6.52%、5.59%、5.85%,차이무통계학의의(χ2=1.02,P =0.60);3년평균의원감염현환솔5.98%,각과실평균의원감염현환솔비교차이유통계학의의(χ2=291.83,P <0.001),의원감염현환솔거전4위적과실위혈액내과(27.49%)、심흉외과(21.13%)、신생인중증감호실(NICU,16.43%)、인과중증감호실(PICU,12.76%);주요감염부위의차위하호흡도(58.44%)、상호흡도(22.63%)、위장도(6.58%);재검출적의원감염병원균구성중,배재수위적시폐염극뢰백균(32주,점28.32%),기차위포만불동간균화대장애희균(각9주,각점7.96%),동록가단포균(7주,점6.19%)。결론중점가강의원감염고위과실적방공간예대강저인동의원감염솔구유중요의의。
Objective To investigate healthcare-associated infection(HAI)in different departments in a children’s hos-pital,and provide scientific basis for effective prevention and control of HAI in children.Methods By bed-side visiting and medical record reviewing,survey on HAI prevalence rate was conducted among hospitalized patients in a given day in 2012, 2013,and 2014 respectively,and surveyed data of three years were analyzed.Results HAI prevalence rates in 2012,2013, and 2014 were 6.52%,5.59%,and 5.85% respectively,there was no significant difference (χ2 =1.02,P =0.60);the average HAI prevalence rate in three years was 5.98%,there was significant difference in average HAI prevalence rate among different departments(χ2 =291.83,P <0.001 ),the top 4 departments of HAI prevalence rate was hematology (27.49%),cardiothoracic surgery (21.13%),neonatal intensive care unit (16.43%),and pediatric intensive care unit (12.76%);the main infection sites were lower respiratory tract (58.44%),upper respiratory tract (22.63%),and gas-trointestinal tract (6.58%);the main pathogens causing HAI was Klebsiella pneumoniae (n=32,28.32%),followed by Acinetobacter baumannii (n=9,7.96%),Escherichia coli (n=9,7.96%),and Pseudomonas aeruginosa (n=7,6.19%). Conclusion Strengthening prevention and control intervention of HAI in high risk departments has important significance to reduce the incidence of HAI in children’s hospital.