一起新生儿脐部感染暴发原因调查

AN INVESTIGATION ON THE ERUPTIVE REASON OF THE NEWBORN UMBILICAL INFECTION

目的调查一起新生儿脐部感染暴发的原因,采取有效控制措施。方法通过回顾性调查的方法,对本医院产科发生的一起新生儿脐部感染暴发进行调查分析。结果该医院产科在5 d内共出生新生儿18名,连续发生新生儿脐部感染患儿4例,罹患率为22.22%。在患儿感染的脐部采集分泌物标本,经分离培养和菌种鉴定检出金黄色葡萄球菌;同时对患儿使用的沐浴用具、水龙头、更衣台面采集样本,均检出金黄色葡萄球菌。主要控制措施是采取环境物品和医务人员手的消毒措施及患儿隔离治疗措施。结论本次发生的新生儿脐部感染暴发致病菌是金黄色葡萄球菌,致病菌可能源自产科新生儿使用的沐浴用具、水龙头、更衣台面等多处污染所致,经采取有效消毒隔离措施使感染得到控制。

Objective To investigate an eruptive reason of the newborn umbilical infection,and to afford control methods effectively.Methods An eruption of newborn umbilical infection in our obstetrical department were retrospectively investigated and analysis.Results There were 18 newborns in our obstetrical department in 5 days.And 4 sickness newborns infected continuously,the nosocomial infection rate is 22.2%.Staphylococcus aureus was detected out in newborn umbilical exudation by separation,culture and indentify.At the same time,S.aureus was detected out in the bathe things,water tap,change dresses top used for newborn.The primary control methods is environmental and hand disinfection among medical workers,and isolating therapy to sickness newborns.Conclusion The eruption of newborn nosocomial infection is result from S.aureus,it might come from the pollution of the bathe things,water tap,change dresses top and others.The infection was controlled by disinfection and isolation effectively.