某儿童医院轮状病毒感染的现状分析

目的 分析我院轮状病毒的分布情况，为医院制定轮状病毒管理措施，减少轮状病毒医院感染的发生。方法 选取医院2015年1月~2017年2月检验科检出的轮状病毒数据和2016年1月~2017年2月住院部上报的轮状病毒性腹泻病例数据及轮状病毒医院感染的数据进行统计分析。结果 2015年~2017年，我院实验室检出轮状病毒以11月份至来年3月份为最高，2016年1月~2017年2月，我院住院部上报的感染性腹泻及轮状病毒疫情从10月份开始逐月递增，12月份、来年1月份为高峰，3月份后逐渐下降。轮状病毒主要分布在消化内科、感染一科和新生儿科。轮状病毒的院内感染占总的医院感染的比例为11.63%。轮状病毒感染以1~12月龄的婴幼儿最高，基础疾病为呼吸系统疾病的患儿更容易患轮状病毒感染。结论 轮状病毒医院感染的高峰与轮状病毒社区感染一致，儿童医院应严格按照传染病的管理对轮状病毒进行分区诊治，同时按要求采取消毒隔离措施和做好手卫生，合理应用抗生素，从而减低轮状病毒医院感染的发生。

The Status Quo Analysis of Rotavirus Infection in a Children's Hospital

Abstract:Objective To analyze the distribution of rotavirus in our hospital,develop rotavirus management measures for the hospital and reduce the occurrence of rotavirus hospital infection.Methods The rotavirus data detected by the hospital from January 2015 to February 2017 and the data of rotavirus diarrhea cases reported from January 2016 to February 2017 were analyzed statistically.Results From 2015 to 2017,rotavirus detected by our laboratory was the highest from November to March in the next year.From January 2016 to February 2017,infectious diarrhea and rotavirus reported by inpatient department of our hospital from October onwards,it has been increasing month by month.In December,it peaked in January and gradually declined after March.Rotavirus is mainly distributed in the digestive medicine,infection of a department and neonatology.The proportion of nosocomial infections of rotavirus in total nosocomial infections was 11.63%.Rotavirus infection is highest in infants and young children aged 1-12 months and children with underlying diseases of respiratory disease are more susceptible to rotavirus infection.Conclusion The peak of rotavirus nosocomial infection is consistent with the community-based rotavirus infection.Children's hospitals should conduct diagnosis and treatment of rotavirus in strict accordance with the management of infectious diseases.At the same time,disinfection and isolation measures and hand hygiene should be taken according to requirements and antibiotics should be rationally used to reduce rotavirus hospital infection occurs.