新生儿医院感染的危险因素及对策分析

Risk factors and countermeasures for nosocomial infections in neonates

目的探讨新生儿医院感染的危险因素并分析相应对策,为减少新生儿感染制定相应措施提供指导依据。方法回顾性调查分析2010年1月-2011年12月住院的1356例新生儿临床资料。结果新生儿医院感染以呼吸道感染为主,59例占52.21%,其次是皮肤软组织感染,32例占28.32%,胃肠道感染15例占13.27%;经单因素和多因素分析后,出生时体重低(<2000g)、住院时间长(>7d)和侵入性操作为影响新生儿医院感染的独立危险因素。结论应针对医院感染的危险因素,积极采取针对性措施来避免或减少新生儿医院感染的发生。

OBJECTIVE To investigate the risk factors and preventive measures for nosocomial infections in the neonates so as to reduce the incidence of neonatal infections.METHODS We carried out a retrospective survey of 1356 newborns from Jan 2010 to Dec 2011.RESULTS The respiratory tract infection was the most common（59 cases,52.21%）,followed by skin and soft tissue infection（32 cases,28.32%）,and gastrointestinal tract infections（15 cases,13.27%）.The univariate analysis and multiple factors analysis showed that the low birth weight（2000 g）,long hospitalization duration（7 d）,and invasive operation were the independent risk factors for the nosocomial infections in the neonates.CONCLUSION It is necessary to take the targeted measures to avoid and reduce the incidence of nosocomial infections in the neonates aiming at the risk factors.