新生儿医院感染分析与护理对策

Analysis of Neonatal Nosocomial Infection and Nursing Measures

目的:探讨新生儿医院感染情况与护理对策。方法:选取2012年10月-2013年10月笔者所在医院住院新生儿380例,住院7 d以内新生儿的189例,住院时间超过7 d的新生儿191例,分析新生儿医院感染情况及护理对策。结果:380例住院新生儿,发生感染的有269例,其中医院感染11例,医院感染率为4.09%(11/269)。患儿感染部位包括:呼吸道4例(36.4%),皮肤软组织2例(18.2%),胃肠道2例(18.2%),眼部、血液及泌尿道各1例(9.1%)。调查发现住院7 d以内的189例患儿中,发生感染的有122例,其中医院感染4例,医院感染率3.28%(4/122);住院时间超过7 d的191例患儿中,发生感染的有147例,其中医院感染7例,医院感染率4.76%(7/147)。两者医院感染率比较差异有统计学意义(P<0.05)。结论:呼吸道、皮肤是新生儿感染的好发部位。新生儿住院天数增加会显著增加新生儿的医院感染发生率,要加强护理人员的感染控制意识。

Objective：To analyze the neonatal nosocomial infection and nursing measures.Method：380 cases of newborn from October 2012 to October 2013 were selected,and 189 cases for hospitalized within 7 days,191 cases for hospitalized time more than 7 days.The neonatal nosocomial infection and nursing measures were analyzed.Result：380 cases of newborn,269 cases were infected,including 11 cases of hospital infection,the hospital infection rate was 4.09%（11/269）.The infected parts including 4 cases（36.4%） of respiratory tract,2 cases（18.2%） of skin and soft tissue,2 cases（18.2%） of gastrointestinal tract,1 case（9.1%） of eyes,1 case（9.1%） of blood and urinary tract.within 189 cases for hospitalized within 7 days,122 cases were infected,including 4 cases of hospital infection,the hospital infection rate was 3.28%（4/122）.Within 191 cases for hospitalized within 7 days,147 cases were infected,including 7 cases of hospital infection,the hospital infection rate was 4.76%（7/122）.The difference between two groups was statistically different（P〈0.05）.Conclusion：Respiratory tract and skin are common locations of neonatal infections.The hospitalized days of newborn will significantly increase the newborn＇s hospital infection,the nursing consciousness of infection control should be strengthening.