新生儿重症监护室院内感染高危因素分析

目的：分析新生儿重症监护室（ NICU）感染的危险因素及防控措施。方法选取该院NICU 2011年至2012年来收治的1340例患儿发生院内感染的情况，回顾性分析发生院内感染的相关因素。结果1340例新生儿中发生院内感染66例，医院感染率为4．92％其中以呼吸道感染情况居首，占总感染的60．61％。发生院内感染的风险因素包括胎龄、出生体重、住院时间、侵入性操作治疗及使用抗生素种类。结论对于早产儿或低体重儿，发生侵入性操作，在院天数长，使用抗生素种类多的患儿，要给予充分重视并采取措施，避免医院感染的发生。

Analysis of nosocomial infection risk factors in NICU

Objective To analyze the risk factors and prophylaxis and control measures of nosocomial infection in NICU.Methods The data of 1 340 cases with nosocomial infection from 2011 to 2012 were retrospectively analyzed.Results Of all cases,the nosocomi-al infections occurred in 66 cases with the infection rate of 4.92%,among which the cases of respiratory tract infections accounted for 60.61%.The neonates with gestational age less than 34 weeks,birth weight less than 2.5 kg,invasive operation during treatment,or use of broad spectrum antibiotics were vulnerable to the nosocomial infections,and the difference was significant (P<0.05).Conclusion Full attention should be paid to the neonates with preterm birth,low birth weight,invasive operation,and use of broad spectrum antibiot-ics,and measures should be undertaken to prevent the nosocomial infections accordingly.