新生儿医院感染及相关因素分析

目的 :探讨新生儿医院感染的发生及相关因素 ,为预防医院感染提供参考。方法 :对 5 a间发生医院感染的新生儿情况结合对照组进行统计学处理、分析。结果 :胎龄 <30周、体重≤ 15 0 0 g的患儿最易发生医院感染 (P<0 .0 5 ) ,发生医院感染的平均天数为 8.43d,病例组使用抗生素的种类、时间及住院时间均显著高于对照组 (P<0 .0 0 1) ,使用过部分胃肠道外营养及超声雾化治疗者也高于对照组 (P<0 .0 5 )。结论 :预防新生儿医院感染的关键是做好基础护理 ,促进患儿长磅 ,加强消毒隔离措施 ,严格控制高效广谱抗生素的使用 ,杜绝无明确指征的预防用药。

To analyze the newborn infants hospital infection and the relative factors

Objective:To study the reasons of newborn infants hospital and the relative factors so as to provide against hospital infections.Methods:To statistically deal with and analyze the instances of newborn infants hospital infections in the past 5 years,integrated with the contrast group.Results:The hospital infection most happens to those infants whose foetal age is no more than 30 weeks and weight is no more 1500 g( P <0.05).The average days of hospital infections are 8.43 days.The sort and time of the antibiotics and the hospital time of the infection group are obviously more than the contrast group( P <0.001).Also the number of patient who ever use the parenteral nutrition and the supersonic atomization is more than the contrast group ( P <0.05).Conclusions:The most important thing to preclude the newborn infants′ group infection is to take good basic caring,so to redound the infants to increase weight.Besises,listerization seclusion should be strengthened, the usage of high-effect antibiotics should be heavily controlled, and preclusive medicine without definite aim should be rigidlly refused.