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新生儿重症监护室医院感染监测
引用本文:彭元娥,朱谦,牛桂林,张玉霞. 新生儿重症监护室医院感染监测[J]. 中国感染控制杂志, 2005, 4(2): 139-141
作者姓名:彭元娥  朱谦  牛桂林  张玉霞
作者单位:1. 南阳市中心医院,河南,南阳,473009
2. 河南省卫生防疫站,河南,郑州,473009
摘    要:目的 探讨新生儿重症监护室(NICU)的医院感染率及危险因素。方法 采用目标性监测的方法对某院2002年1~12月NICU所有住院患儿进行主动(前瞻)监测。结果 共出院新生儿1790人,其中130例发生医院感染,医院感染率为7.26%;感染部位构成比排序为:下呼吸道29.23%,皮肤26.92%,上呼吸道25.38%,胃肠道12.31%,口腔4.62%,其他1.54%。结论 NICU医院感染率高;各种侵袭性操作、败血症、早产儿活力不足、低体重出生、住院时间长、抗感染药物应用不合理等是NICU医院感染的危险因素。

关 键 词:新生儿 新生儿重症监护室 医院感染 目标监测
文章编号:1671-9638(2005)02-0139-03
修稿时间:2004-03-04

Monitoring of nosocomial infection in neonates in neonatal intensive care unit
PENG Yuan-e,ZHU Qian,NIU Gui-lin,ZHANG Yu-xia. Monitoring of nosocomial infection in neonates in neonatal intensive care unit[J]. Chinese Journal of Infection Control, 2005, 4(2): 139-141
Authors:PENG Yuan-e  ZHU Qian  NIU Gui-lin  ZHANG Yu-xia
Affiliation:PENG Yuan-e 1,ZHU Qian 2,NIU Gui-lin 1,ZHANG Yu-xia 1
Abstract:Objective To evaluate the rate and risk factors of nosocomial infection (NI) in neonates in neonatal intensive care unit (NICU). Methods All hospitalized children in NICU from January 2002 to December 2002 were monitored prospectively by targeted surveillance method. Results There were 130 NI cases among the total of 1 790 hospitalized neonates. The NI rate was 7.26%. The main infection sites were lower respiratory tract ( 29.23%), skin ( 26.92%), upper respiratory tract ( 25.38%), gastrointestinal tract ( 12.31%), oral cavity ( 4.62%) and the others ( 1.54%). Conclusion NI rate in patients in NICU is high. The risk factors for NI in NICU were medical invasive operation, septicemia, prematures, low birth weight, long-term hospitalization and improper usage of antimicrobials.
Keywords:neonates   neonatal intesive care unit  nosocomial infection  targeted monitor
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