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新生儿医院感染的危险因素分析与预防对策
引用本文:吴琼芳,张秀平,高群,黄娟,梁琪伟,徐心悦. 新生儿医院感染的危险因素分析与预防对策[J]. 蚌埠医学院学报, 2021, 46(4): 537-539. DOI: 10.13898/j.cnki.issn.1000-2200.2021.04.028
作者姓名:吴琼芳  张秀平  高群  黄娟  梁琪伟  徐心悦
作者单位:安徽省儿童医院 感染管理科, 安徽 合肥 230051
摘    要:目的:分析某院新生儿病房引起医院感染相关危险因素,制定有效的预防控制措施.方法:采用主动监测方法,对某院2020年1-6月入住新生儿病房的1858例患儿资料进行目标性监测,对监测结果资料进行统计与分析,提出医院感染相应预防对策.结果:1858例中发生医院感染24例,27例次,医院感染发病率1.29%,例次医院感染发病率...

关 键 词:新生儿疾病  医院感染  危险因素  预防对策
收稿时间:2020-01-03

Risk factors analysis and preventive measures of neonatal nosocomial infection
WU Qiong-fang,ZHANG Xiu-ping,GAO Qun,HUANG Juan,LIANG Qi-wei,XU Xin-yue. Risk factors analysis and preventive measures of neonatal nosocomial infection[J]. Journal of Bengbu Medical College, 2021, 46(4): 537-539. DOI: 10.13898/j.cnki.issn.1000-2200.2021.04.028
Authors:WU Qiong-fang  ZHANG Xiu-ping  GAO Qun  HUANG Juan  LIANG Qi-wei  XU Xin-yue
Affiliation:Department of Infection Management Division, Anhui Children's Hospital, Hefei Anhui 230051, China
Abstract:ObjectiveTo analyze the characteristics and related risk factors of nosocomial infection in the neonatal ward of a hospital, and formulate effective preventive and control measures.MethodsUsing the active monitoring method, the clinical data of 1 858 children hospitalized from January to June 2020 were subjectively monitored, and the monitoring results were statistically analyzed to put forward to corresponding preventive measures of nosocomial infection.ResultsAmong 1 858 neonatal cases, the nosocomial infection in 24 cases(27 times) was found, and the incidence rates of nosocomial infection case and time were 1.29% and 1.45%, respectively.The respiratory tract infection was the main infection(accounting for 44.44%), followed by blood infection(accounting for 37.04%).A total of 19 strains of pathogenic bacteria were detected in 27 times of nosocomial infection, mainly included Acinetobacter baumannii(7 strains, 36.84%), followed by Escherichia coli(4 strains, 21.05%).There was no statistical significance in the incidence rate of nosocomial infection among different gender children(P>0.05).The nosocomial infection rate in neonatal endotracheal intubation group was higher than that in non-endotracheal intubation group(P < 0.01).With the increasing of birth mass, the nosocomial infection rate decreased(P < 0.01).ConclusionsThe low-weight infants and endotracheal intubation are the high risk factors of neonatal nosocomial infection.Therefore, it is necessary to strengthen the management of neonatal ward, strictly operate aseptic technique, grasp the indication of catheterization and take preventive measures for its risk factors to reduce the incidence of nosocomial infection.
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