新生儿病室医院感染管理及环节控制措施

目的:探讨新生儿病房医院感染管理及环节控制措施,降低新生儿医院感染发生率。方法:回顾我科2010-2012年1 737例住院新生儿医院感染病例,分析相关控制因素。结果:实施管理措施及环节控制后,1 737例住院新生儿中,发生医院感染89例,医院感染率由2010年的7.55%下降到2012年的3.31%,医院感染率明显下降。结论:加强各个环节的管理工作,制订有效措施,改善条件,对新生儿室布局、环境、温箱、奶具、医务人员手、物品污染及加强基础护理等进行监管,是降低新生儿医院感染率的关键环节。

Management and Process Control Measures for Nosocomial Infection in Neonatal Wards

OBJECTIVE： To investigate the process control measures and management of neonatal nosocomial infection, in or- der to reduce the incidence of neonatal nosocomial infection. METHODS： 1 737 cases of hospitalized neonatal nosocomial infection in our department during 2010--2012 were reviewed, and relevant control factors were analyzed. RESULTS： After implementing the process control and management, 89 cases of nosocomial infection occurred among 1 737 hospitalized newborns; nosocomial in- fection rate reduced from 7.55% in 2010 to 3.31% in 2012, decreasing significantly. CONCLUSIONS： The key processes to re- duce neonatal nosocomial infection rate are to strengthen the management of each process, develop effective measures, improve conditions, supervise the newborns room layouts, environment, incubator, milk tools, medical staffs＇ hands and item pollution and strengthen primary care.