NICU患儿医院感染危险因素的临床分析

Clinical analysis of risk factors of NICU nosocomial infections in children

目的分析新生儿重症监护病房(NICU)患儿发生医院感染的高危因素,为NICU患儿有效护理提供依据。方法选取医院2012年1月-2015年1月134例NICU患儿临床资料,观察NICU患儿医院感染发生率,并使用多因素logistic分析法,分析导致NICU患儿发生医院感染的高危因素,数据采用SPSS16.0统计软件进行分析。结果 134例NICU患儿发生医院感染17例,感染率为12.69%,感染部位以皮肤及胃肠道为主,分别占41.19%及23.53%;早产、体质量较低、抗菌药物使用时间>2周、不规范的医护行为等均是导致NICU患儿发生医院感染的危险因素。结论应针对影响NICU患儿发生医院感染的高危因素,提出有效地护理干预措施,从而达到降低NICU患儿医院感染率。

OBJECTIVE To analyze the risk factors of nosocomial infections in NICU infants,so as to provide the basis for effective care for NICU infants.METHODS The clinical data of 134 NICU children during Jan.2012-Jan.2015 were collected to observe the incidence of hospital infections in NICU children and the multivariate logistic analysis was used to analyze the high risk factors leading to the emergence of hospital infections in NICU children.Data were analyzed by statistical software SPSS16.0.RESULTS Among the 134 children,17cases had NICU nosocomial infections,the infection rate was 12.69%.The main infected sites were skin（41.19%）and gastrointestinal tract（23.53%）.Premature birth,lower body weight,antibiotic use for more than two weeks and nonstandard behavior of health care were risk factors for nosocomial infections in NICU children.CONCLUSIONEffective nursing interventions were proposed according to risk factors for nosocomial infections in NICU children,so as to achieve the purpose of reducing the NICU nosocomial infection rate.