儿科重症监护室医院感染原因分析及应对措施

The cause analysis and countermeasures of hospital infection in pediatric intensive care unit

目的:对PICU(儿科重症监护室)医院感染的主要原因进行分析,采取相应的措施。方法:选择PICU收治的2 562例重症患儿为研究对象,分析其医院感染原因及防控措施。结果:2 562例PICU住院儿童中122例出现医院感染,发生率为4.76%。胎龄小于37周、出生体重<2 500g、住院时间≥10d、有侵入性操作、抗生素应用不合理患儿医院感染比例明显升高,组间差异有统计学意义(P<0.05)。结论:实施严格规范的儿科重症监护室管理制度,加强低体重儿及早产儿的护理、减少侵入性操作、缩短住院时间等是预防PICU医院感染的重要措施。

Objective：To analyze the causes and countermeasures of hospital infection in pediatric intensive care unit（PICU）.Methods：2 562 cases of pediatric patients with severe in PICU were selected as study group.The cause and countermeasures of hospital infection were analyzed.Results：In 2 562 cases of hospitalized children in PICU,122 cases of hospital infection,the incidence rate was 4.76%.Cause analysis found that gestational age of less than 37 weeks,birth weight〈2 500 g,hospitalization time was more than or equal to 10 days,invasive operation,antibiotic use excess children’s hospital infection ratio increased significantly（P〈0.05）.Conclusion：Implementation of strict norms of pediatric intensive care room management system,strengthen the nursing care of low birth weight children and infants,reduce the invasive operation,shortening the period of hospitalization are important measures for prevention of hospital infection in PICU.