摘要
目的研究新生儿医院感染的危险因素,分析控制预防措施,指导临床控制和预防新生儿医院感染的发生。方法选取2011年10月-2013年10月新生儿共868例,详细记录新生儿的各项资料,观察和记录新生儿医院感染部位,研究新生儿医院感染的危险因素,采用Excel 2007进行统计分析。结果共868例新生儿,发生感染82例,感染率为9.45%;感染部位以肺部为主,共35例占42.68%;82例感染的新生儿共培养出病原菌88株,以革兰阴性菌为主,共52株占59.09%;相关因素分析显示,高龄产妇、剖宫产新生儿、住ICU及母婴同室、新生儿住院时间长、新生儿置暖箱、反复吸痰、安置导尿管、早产、羊水污染、未应用抗菌药物预防等是新生儿医院感染的危险因素(P<0.05)。结论新生儿医院感染率高,临床应依据新生儿医院感染发生的危险因素,采取措施控制新生儿医院感染的发生。
OBJECTIVE To analyze the risk factors and prevention measures of infections in newborns,and provide some knowledge for preventing the occurrence of infections in newborns.METHODS Totally 868 cases of newborns during Oct.2011 to Oct.2013 were chosen,and data were recorded in details.The infection sites were observed and recorded.The risk factors of infections in newborns were studied by comparing the infected and un-infected newborns.The software Excel 2007 was used for statistical analysis.RESULTS Infections occurred in 82 out of 868 newborns,the infection rate was 9.45%.The main infected site was lung（35cases,42.68%）.Totally 88 pathogenic strains were cultured from the 82 infected newborns,mainly including gram negative bacteria（52strains,59.09%）.The relevant factor analysis showed advanced maternal age,caesarean section,ICU stay and direct rooming-in,long hospitalization duration of newborns,neonatal incubator,repeated suctioning,placement of catheter,premature delivery,contaminated amniotic fluid,no prophylactic application of antibiotics were risk factors of neonatal hospital infections（P〈0.05）.CONCLUSION The infection occurrence rate in newborns was high,and prevention measures should be taken according to the risk factors of hospital infections in newborns to prevent the occurrence of hospital infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第8期1896-1897,1900,共3页
Chinese Journal of Nosocomiology
基金
山东省科技厅基金资助项目(JB2010卫-3-29[a]-1)
关键词
新生儿
医院感染
危险因素
预防措施
Newborns
Hospital infection
Risk factors
Prevention measures
