摘要
目的探讨产科出院新生儿是否纳入产科出院病例人数统计对计算医院感染发病率的影响。方法对2009-2016年四川省妇幼保健院产科医院感染发病率进行分析,研究在医院感染发病率统计中,分母包含产科成人及新生儿与不包含产科新生儿医院感染发生率的差异性。结果 2009-2016年产科共发生医院感染113例,分母纳入产科新生儿与不纳入产科新生计算的医院感染发病率相比,2010年和2016年差异具有统计学意义(χ2值分别为4.958、4.081,P<0.05),其余年限差异无统计学意义;各年度医院感染发病率对比,产妇组与产妇加新生儿组感染发病率差异均有统计学意义,其中产妇组χ2值为5.312(P<0.05),产妇加新生儿组χ2值为5.231((P<0.05),发病率有下降趋势。结论产科新生儿虽然没有单独的病例资料,但是作为独立的个体同样存在感染可能性,在计算产科感染发病率时分子、分母应包含同期出院的新生儿。在治疗、护理活动有效落实感染防控措施可以降低产科医院感染发病率。
Objective To discuss the view whether number of neonates in the maternity hospital should be included to calculate the incidence of hospital infection. Methods The maternity hospital infection rates from2009 to 2016 in Sichuan Province Maternity and Child Care Center was analyzed. There were two calculation methods evaluating the incidence of hospital infection. One was the denominator including obstetric adults and newborn babies： the other one was only including obstetric adults. Statistical differences of the incidence of hospital infection evaluated by the above two methods were compared. Results From 2009 to 2016,there were a total of 113 cases of hospital infection in obstetrics and gynecology. The denominator was compared with the incidence of hospital infections that were between included in or not included in obstetric neonatal calculations,There was statistical significant difference between 2010 and 2016（ χ^2= 4. 958,4. 081; P〈0. 05）. There were no statistical differences among other years. Compared the annual incidence of hospital infection,there was statistical significant difference between maternal group and maternal plus neonatal group. The Chi-square value was（ χ^2= 5. 312,P〈0. 05） in maternal group,the Chi-square value was（ χ^2= 5. 231,P〈0. 05） in maternal and newborn group,a decreasing trend was showed in the incidence. Conclusion Although there was no separate case data in obstetric newborns, there was, likewise,possibility of infection as an independent individual. When calculating the incidence of obstetric infection,the number of the same period discharge of newborns should be calculated in the molecular and the denominator. In the treatment and nursing activities,effective infection control measures should be implemented to reduce incidence of maternity hospital infections.
作者
张静
李渠
李芹
ZHANG Jing,LI Qu,LI Qin(Sichuan Maternal and Child Health Care Center, Sichuan Women and Children＇s Hospital, Chengdu 610045, Sichuan Province, China)
出处
《预防医学情报杂志》
CAS
2018年第8期1036-1038,共3页
Journal of Preventive Medicine Information
关键词
产科新生儿
医院感染
发病率
obstetric newborn
hospital infection
incidence
