摘要
目的探讨目标性监测与干预对预防和降低新生儿科医院感染率的效果。方法对新生儿科医院感染状况进行目标性监测,半年后实施针对性的干预措施,分析干预前后医院感染发生的差异。结果干预前后医院感染发生率分别为5.48%和3.33%(P<0.05),感染部位以下呼吸道和上呼吸道为主。干预后呼吸机相关肺炎的发生率从3.43%降至0.05%(P<0.05),中心静脉插管相关血流感染率由0.74%降至0(P<0.05)。分离的病原体以大肠埃希菌和肺炎克雷伯菌为主。结论目标性监测能及时反映感染控制工作中的薄弱环节,通过定期下科室巡查及采取干预措施能有效控制医院感染的发生。
Objective To explore the effects of target surveillance and intervention in preventing and decreasing the nosocomial infection rate in neonatal department. Methods Target surveillance on the situation of nosocomial infection in neonatal department was conducted; pertinent intervention measures were carried out after half-a-year monitoring; and the differences of the nosocomial infection rates before and after the intervention were analyzed. Results The nosocomial infection rates before and after the intervention were 5.48% and 3.33%, respectively （P〈 0, 05）. The infection sites were mainly lower respiratory tract and upper respiratory tract, After intervention, the rate of ventilator - associated pneumonia de- creased from 3.43 % to 0.05 % （P〈 0.05）. The rate of venous catheter - associated bloodstream infection decreased from 0.74 % to 0（P〈 0.05）. Most of the isolated pathogens were Escherichia coil and Klebsiella pneumonia. Conclusions Target surveillance can reflect the weak links in the task of infection control in time. Nosocomial infection can be controlled effectively by making regular patrols into the departments and carrying out the intervention measures.
出处
《实用预防医学》
CAS
2009年第4期1019-1021,共3页
Practical Preventive Medicine
基金
广东省珠海市科技计划项目(PC20081033)
关键词
新生儿科
医院感染
目标性监测
Neonatal department
Nosocomial infection
Target surveillance
