新生儿感染性疾病危险因素分析与对策

目的分析新生儿感染性疾病的危险因素并做出相应的临床对策。 方法对本科室2013年1月至2014年12月收治的92例住院感染性疾病患儿的临床资料进行回顾性分析。 结果本院在研究期间新生儿感染性疾病感染部位居前三位的是呼吸系统（43例）、消化系统（20例）和皮肤、软组织（16例），构成比分别为46.74%、21.74%和17.39%；新生儿感染性疾病中居前三位是肺炎（47例）、尿布性皮炎（14例）和脓疱疹（9例），构成比分别为51.09%、15.22%和9.78%。新生儿感染疾病病原菌居前3位是肺炎克雷伯菌（28株，30.43%）、大肠埃希菌（18株，19.57%）和铜绿假单胞菌（16株，17.39%）。 结论新生儿感性疾病受多种因素的影响，需要增强医护人员、产妇在孕产期间出现的并发症和医院感染控制意识，严格执行消毒隔离制度和无菌操作流程，可以减少和避免新生儿感染性疾病的发生。

Analysis and countermeasures for the risk factors of newborn with infectious diseases

ObjectiveTo analyze the risk factors of newborn with infectious diseases and to make the corresponding clinical countermeasures. MethodsThe clinical data of 92 cases with infectious diseases who hospitalized in our department from January 2013 to December 2014 were analyzed, retrospectively. ResultsThe top three infection sites of infectious disease were the respiratory system (43 cases), digestive system (20 cases) and skin and soft tissue (16 cases), the rates were 46.74%, 21.74% and 17.39%; neonatal infectious diseases ranked the top three were pneumonia (47 cases), diaper dermatitis (14 cases) and impetigo (9 cases), the rates were 51.09%, 15.22% and 9.78%, respectively. The top three pathogens of neonatal infectious disease were Klebsiella pneumoniae (28 strains, 30.43%), Escherichia coli (18 strains, 19.57%) and Pseudomonas aeruginosa (16 strains, 17.39%). ConclusionsNeonatal infection diseases were caused by a variety of factors, the awareness of infection control perinatal complications and hospital infection should be enhanced, the disinfection and isolation system should be implemented strictly and the aseptic operation process should be implemented strictly, which could reduce the rate of infectious diseases of newborn.