摘要
目的分析母婴同室产妇医院感染的影响因素,针对性制定医院感染的预防控制措施。方法选取锦州市妇婴医院2013年1月-2014年12月产科病房收治的医院感染产妇58例为病例组,随机抽取同期入院的未感染产妇58例为对照组,对影响母婴同室产妇医院感染的相关因素进行非条件logistic回归分析。结果经非条件logistic回归分析结果显示,孕产妇住多人间病房,胎膜早破,外阴切口是母婴同室产妇医院感染的危险因素;分娩方式为阴道分娩,新生儿脐带断端消毒每日2次,新生儿在母婴同室床旁洗澡,医务人员手卫生依从率高是母婴同室产妇医院感染的保护因素。结论母婴同室产妇医院感染是由多种因素引起,为产妇提供单间病房,积极治疗孕期并发症、合并症,正确指导孕期营养,避免巨大儿,降低剖宫产率,降低阴道分娩侧切率,避免在公共洗澡间给新生儿洗澡,鼓励产妇选择阴道分娩方式等措施,增强医务人员对医院感染预防控制的意识,规范医务人员手卫生,加强健康宣教,从而有效降低母婴同室病房医院感染率。
OBJECTIVE To analyze influencing factors of rooming-in nosocomial infection of puerpera,and to make the prevention and control measures of nosocomial infection.METHODS A total of 58 cases of puerpera with nosocomial infection in Women and Children＇s Hospital of Jinzhou from Jan,2013 to Dec,2014 were chosen as observation group,and another 58 uninfected patients were randomly selected as control group.Unconditioned logistic regression analysis was used to analyze the related factors of rooming-in nosocomial infection.RESULTS The unconditioned logistic regression analysis showed that pregnant woman and puerpera in multi-patient ward,premature rupture of membranes,and vulvar incision were the risk factors of the rooming-in nosocomial infection.Vaginal delivery,neonatal umbilical cord disinfection twice a day,neonatal bathing beside the rooming-in bed,and high hand hygiene compliance rate of medical staff were the protective factors of the rooming-in nosocomial infection of puerpera.CONCLUSIONThe rooming-in nosocomial infection was caused by many factors.The measures of providing single ward to puerpera,taking active treatment of pregnancy complications,providing correct nutrition to pregnant women to avoid macrosomia are recommended.Reducing the cesarean delivery rate and the vaginal delivery side-cutting rate,avoiding bathing newborns in public baths,and encouraging puerpera choose vaginal delivery way were put forward.It should to enhance the consciousness of prevention and control of nosocomial infection among the medical staff,standardize hand hygiene of medical staff,and strengthen health education,so as to effectively reduce the rooming-in nosocomial infection rate.
作者
安桂玲
徐艳
任波
卢静
徐进
张琛
AN Gui-ling XU Yan REN Bo LU Jing XU Jin ZHANG Chen(Women and Children＇s Hospital of Jinzhou,Jinzhou, Liaoning 121000, China)
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2017年第4期939-942,共4页
Chinese Journal of Nosocomiology
基金
辽宁省科技厅基金资助项目(2013225305)
关键词
母婴同室
产妇
新生儿
医院感染
预防控制
Rooming-in
Puerpera
The newborn
Nosocomial infection
Control and prevention
