新生儿重症监护室医院感染目标性监测

目的了解某院新生儿重症监护室(NICU)医院感染现状，明确相关危险因素,探讨有效的预防与控制措施。方法采取主动监测的方法，按《医院感染监测规范》中新生儿病房医院感染监测的内容，对NICU 2010年3月1日-2011年2月28日所有住院新生儿进行目标性监测，并对监测结果进行统计分析。结果监测新生儿368例，感染43例，52例次，感染率11.68%，感染例次率14.13%。早产儿、极低体重儿是医院感染的高危人群。结论目标性监测能及时反映感染控制工作中的薄弱环节,利于针对性地做好医院感染控制工作。

Targeted monitoring on nosocomial infection in a neonatal intensive care unit

Objective To evaluate the status of nosocomial infection in a neonatal intensive care unit（NICU）, so as to determine risk factors and effective preventive and control measures. Methods All neonates who were hospitalized between March 1, 2010 to February 28, 2011 were monitored based on Nosocomial Infection Surveillance Standard and the monitored results were analyzed statistically. Results 368 neonates were monitored, 43 of whom developed 52 times of infection, infection rate was 11.68~, infection case rate was 14. 13%. Premature neonates and very-low birth weight neonates were high risk population for nosocomial infection. Conclusion Targeted monitoring can reflect the weak link of infection control work, and promote nosocomial infection control.