摘要
目的 探究新生儿重症监护室新生儿医院感染的危险因素。方法 回顾性分析2019年1—12月NICU收治的3 783例患儿病历资料,采用χ^(2)检验分析医院感染相关单因素,采用Logistic回归分析多因素。结果 3783例患儿中医院感染例数184例,医院感染率为4.23%;单因素分析结果显示胎龄(≤36周)、出生体质量(≤2 500 g)、多胎、抗菌药物应用时间(≥7 d)、住院时间(≥7 d)、妊娠期高血压、羊水污染、窒息、剖宫产、气管插管、PICC置管是NICU新生儿医院感染的相关危险因素,多因素Logistic回归分析显示,住院时间(≥7 d)、胎龄(≤36周)、出生体质量(≤2 500 g)、抗菌药物应用时间(≥7 d)是NICU新生儿医院感染的独立危险因素。结论 应针对NICU患儿医院感染危险因素制定相应的护理防控对策。
Objective To explore the risk factors of neonatal nosocomial infection in neonatal intensive care unit.Methods The medical records of 3 783 children admitted to NICU from January to December 2019 were retrospectively analyzed.Theχ^(2) test was used to analyze the univariate factors related to nosocomial infection,and Logistic regression was used to analyze the multivariate factors.Results There were 160 nosocomial infections in 3 783 children,and the nosocomial infection rate was 4.23%.Univariate analy sis showed that gestational age(≤36 weeks),birth weight(≤2 500 g),multiple births,and duration of antimicrobial use(≥7 days),length of hospitalization(≥7 days), gestational hypertension,amniotic fluid contamination,asphyxia,cesarean section,tracheal intubation,PICC intubation and surgery were related risk factors for NICU neonatal nosocomial infection.Multivariate Logistic regression analysis showed that length of hospitalization(≥7 days),birth weight(≤2 500 g) and duration of antimicrobial use(≥7 days) were independent risk factors for nosocomial infection in NICU neonates.Conclusion Corresponding nursing prevention and control strategies should be formulated according to the risk factors of no socomial infection in children in NICU.
作者
施玉珍
黄珊红
程少彬
SHI Yuzhen;HUANG Shanhong;CHENG Shaobin(Nosocomial Infection Management Office,Quanzhou Women’s and Children’s Hospital,Quanzhou Fujian 362000,China)
出处
《中国卫生标准管理》
2022年第15期174-178,共5页
China Health Standard Management
关键词
新生儿重症监护室
新生儿
医院感染
危险因素
护理防控
对策
neonatal intensive care unit
neonate
nosocomial infection
risk factors
nursing prevention and control
strategies
