摘要
目的调查儿科门诊输液室医院感染的发生现状及医院感染的相关危险因素，为预防儿科门诊输液室医院感染提供参考依据。方法选择连续≥3d在儿科门诊输液室输液治疗具有相似住院条件的患儿3283例为研究对象，采用单因素和多因素非条件logistic回归分析发生医院感染相关危险因素。结果儿科门诊输液室患儿发生医院感染378例，感染率为11．5％，医院感染部位以呼吸道为主占57．1％；年龄越小发生感染率越高，以0～1岁发生感染率最高为20．7％，多因素结果显示，年龄小、持续输液时间长、患有非呼吸道原发性疾病、经常不开窗以及下午输液治疗是发生医院感染的独立危险因素，其OR值分别为2．176、1．899、1．351、1．402、1．243。结论儿科门诊输液室输液治疗的患儿发生医院感染率较高，是多因素综合作用的结果，应针对危险因素采取相应措施避免。
OBJECTIVE To investigate the incidence of nosocomial infections in infusion room of pediatric outpatient department and analyze the related risk factors for the nosocomial infections so as to provide evidence for prevention of the nosocomial infections in the infusion room of pediatric outpatient department. METHODS Totally 3283 children with the same hospitalization condition who received the infusion therapy for no less than 3 consecutive days were enrolled in the study, then the univariate analysis and non-conditional multivariate logistic regression analysis were performed for the related risk factors for the nosocomial infections. RESULTS The nosocomial infections occurred in 378 children with the infection rate of 11.5%, among which the children with respiratory tract infections accounted for 57.1%; the younger the children, the lower the incidence of infections; the incidence of infections in the children aged between 0 and 1 was the highest （20.7%）. Multivariate analysis indicated that the young age, long time of infusion, complication of non-respiratory tract primary disease, not opening the window, and infusion therapy in the afternoon were the independent risk factors for the nosocomial infections, of which the OR values were 2. 176,1. 899,1. 351,1. 402, and 1. 243, respectively. CONCLUSION The incidence of nosocomial infections is high in the children who receive the infusion therapy in the infusion room of pediatric outpatient department, which is the result of the combined effect of multiple factors; it is necessary to take corresponding measures according to the risk factors.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第6期1534-1535,1538,共3页
Chinese Journal of Nosocomiology
基金
昆明医学大学基金资助项目(2013JY-Y18)
关键词
医院感染
儿科门诊输液室
危险因素
Nosocomial infection
Infusion room of pediatric outpatient department
Risk factor
