77例住院早产儿医院感染临床分析

Hospitalized Infection Analysis of 77 Cases of Premature Children

目的 探讨分析住院早产儿医院感染的临床因素。方法 选取2012年7月-2014年7月在我院新生儿科进行治疗的早产儿共77例,分析早产儿感染的因素并分析早产儿感染的部位。结果 出生的体重比1 500 g小、机械通气、动脉置管、预防性的应用抗生素、胎龄小于32周、开奶的日龄大于5 d、经外周中心静脉置管、住院时间大于2周都和医院感染有一定的关系,早产儿发生下呼吸道感染和血液感染的比较多,其次是口腔感染与皮肤感染。结论 早产儿发生医院感染的原因比较多,且这些原因相互影响相互作用,所以应该加强对于早产儿的护理,采取缩短上机时间、加强营养、减少侵袭性操作次数、生后早期开奶等措施,降低早产儿发生医院感染的可能性。

Objective To investigate the clinical factors in premature children hospitalized Infection. Methods From July 2012 to July 2014 a total of 77 cases preterm children treated in our hospital,analysis of the factors in premature children infected and analyze the site of infection in premature children. Results Birth weight smaller than 1 500 g,mechanical ventilation,arterial catheter,prophylactic antibiotics,gestational age less than 32 weeks of age to open more than five days of milk,the outer periphery of central venous catheter,length of stay more than two weeks were and hospital infection had a certain relationship,lower respiratory tract infection occur in preterm children and bloodstream infections more,followed by oral infections and skin infections. Conclusion Nosocomial infection in premature children are more reasons,and these reasons interaction interaction,so it should strengthen care for premature children,take shorten the machine time,better nutrition,reduce the number of invasive procedures,such as milk after birth early start measures to reduce the likelihood of the occurrence of nosocomial infection in premature children.