儿科血液病房医院感染易感因素分析

目的　探讨儿科血液病房发生医院感染的易感因素及防治措施。方法　参照“医院感染学”中对各部位医院感染诊断标准，对儿科血液病房１９９１ 年１２ 月至１９９８ 年１１ 月的住院病例进行调查分析。结果　住院天数延长，血白细胞计数降低，化疗和／ 或肾上腺皮质激素治疗，原发疾病的严重程度及侵袭性操作与儿科血液病房医院感染发生有关。结论　及时发现真菌感染，保持病房空气洁净，严格执行无菌操作规程，正确合理使用抗生素可减少该病房医院感染的发生率。

Analysis on susceptible factors of hospital infection in pediatric hematological ward

Objective To probe the susceptible factors of hospital infection and prophylactic and therapeutic measures. Methods Hospital infection of different body parts which appeared in pediatric hematological ward from Dec. 1991 to Nev 1998 were analyzed according to principles of “nosocomiology”. Results Through investigation,the factors related with hospital infections were prolonged hospitalization,decrease in leukocyte count,chemotherapy and/or treatment with adreno-cortical hormone,severity of primary diseases and invasive manipulations in hematological ward. Conclusions The incidence rate of hospital infection in pediatric hematological ward could be reduced by prompt discovery of fungal infection,keeping up clean air in the ward,strictly executing aseptic manipulation and using antibiotics correctly and properly.