摘要
目的分析浙江省诸暨市妇幼保健院医院感染患儿资料,研究其发病规律,探讨预防对策。方法回顾性分析3240例患儿的临床资料,观察医院感染发生率、部位、病原菌及构成比、相关因素、对预后的影响。结果医院感染率为4.32%;呼吸道占55.71%;110例送病原学检查,64例培养阳性,其中革兰氏阳性球菌共34例,革兰氏阴性杆菌22例,真菌8例;医院感染组患儿年龄≤7岁63.57%、实施侵袭性操作55.71%、预防应用抗生素45.00%、重症监护病房22.14%,高于无医院感染组的42.58%、14.65%、33.84%、15.10%(P<0.05);医院感染组患儿病死率10.71%、住院时间(28.32±5.23)d,高于无医院感染组的1.39%、(12.76±3.32)d。结论儿科患儿是医院感染高危群体,影响因素复杂,对预后有不良影响,应采取相应措施避免和减少医院感染的发生。
Objective To study the occurrence regularity of pediatric nosocomial infections and discuss the prevention meas- ures. Methods The clinical data of 3240 child patients with nosocomial infections were analyzed retrospectively. The incidence of nosocomial infection, sites,pathogens and constituent ratio, risk factors,influence on the prognosis was observed. Results The nosocomial infection rate was 4.32% ;respiratory tract infection accounted 55.71% ;the etiological examination was carried out in 110 cases,in which 64 cases were culture-positive, gram-positive cocci were 34 cases, gram-negative bacilli 22 cases, fungus 8 ca-ses. In the hospital infection group, the ages of patients less than 7 years accounted for 63.57%. 55.71% of them underwent the implementation of invasive operation,45% received prophylactic use of antibiotics, and 22.14% was from intensive care ward, while in the non-nosocomial infection, they were 42.58 %, 14.65 %, 33.84%, 15.10%, respectively （ P 〈 0.05 ） ; The mortality （ 10.71% ） and hospitalization time（28.32 ± 5.23 ） in the nosocomial infection group were both higher than those in the non-nosocomial infection group（ 1.39% ,12.76 ±3.32 days,respectively）. Conclusion Pediatric patients are the high risk popula-tion of nosocomial infection. Many factors may lead to the nosocomial infection and a bad prognosis of patients. The corresponding measures should be taken to avoid and reduce the incidence of hospital infection.
出处
《中华全科医学》
2013年第11期1682-1683,共2页
Chinese Journal of General Practice
关键词
儿科
医院感染
因素
预防
Department of pediatrics
Hospital infection
Factors
Prevention
