新生儿病房院内感染因素分析

ANALYSIS OF NOSOCOMIAL INFECTION FACTORS IN NEWBORN NURSERY

目的了解新生儿病房医院感染发病率及其影响因素,制定防控对策。方法通过回顾性调查方法,对某医院新生儿病房医院感染现状及其危险因素进行了调查与分析。结果该医院新生儿病房2009-2011年共调查住院患儿5 561例,发生医院感染234例,医院感染率为4.2%。医院感染发生率构成比居前3位依次为轮状病毒肠炎占45.30%,败血症占26.07%,呼吸道感染占20.09%。新生儿医院感染构成因素主要有住院时间长、环境卫生质量差、低出生体重儿、侵入性操作等。结论该医院新生儿病房医院感染主要是病毒性肠炎和败血症以及呼吸道感染,环境卫生和侵入性操作为新生儿感染主要可控因素。

Objective To understand neonatal nosocomial infection incidence and the influencing factors so as to develop countermeasures.Methods Retrospective investigation method was used to investigate and analyze the hospital neonatal nosocomial infection status and risk factors.Results 5 561 cases hospitalized children in the hospital neonatal unit were surveyed during 2009-2011 year.234 cases of hospital infection happened and the hospital infection rate was 4.2%.The hospital infection rates ranked in the top 3 were rotavirus enteritis accounting for 45.30%,septicemia accounting for 26.07%,respiratory tract infection accounting for 20.09%.The main factors of nosocomial infection in neonates were long periods of hospitalization,environmental hygiene poor quality,low birth weight infants and invasive operation.Conclusion The hospital infections in hospital neonatal ward are mainly viral enteritis,septicemia and respiratory infections.Environmental sanitation and invasive operation are the main controllable factors in neonatal infection.