新生儿病房医院感染目标性监测结果分析

Result analysis on targeted monitoring of neonatal ward hospital infection

目的了解新生儿病房患儿医院感染特点和现状,提出有效的干预措施,加强新生儿病房感染管理。方法通过目标性监测方法,对某医院新生儿病房医院感染状况进行监测和分析。结果共调查新生儿病房住院患者2 832例,发生医院感染69例,医院感染率为2.4%;以呼吸道和血液相关感染为主。呼吸机相关性肺炎(VAP)发生率为4.5%,中心静脉导管相关感染(CRBSI)的发生率为8.5%。千日感染率从2013年的4.22‰下降至2015年的1.74‰,呈下降趋势。结论该医院新生儿病房患儿医院感染发生率呈现逐年下降趋势,新生儿呼吸道和血流相关感染为控制重点。

Objective To understand and the status of the characteristics of the neonatal ward hospital infection,put forward effective intervention measures and strengthen the management of neonatal ward infection. Methods Targeted monitoring method was used to monitor and analysis hospital infection status of a certain hospital neonatal ward. Results Of 2 832 cases of hospitalized patients of neonatal wards,69 cases occurred hospital infection,the hospital infection rate was 2. 4%,mainly were the respiratory tract and blood related infections. The incidence of ventilator associated pneumonia（ VAP） was4. 5%,the incidence of central venous catheter related infection（ CRBSI） was 8. 5%. Thousand days infection rate decreased from 4. 22‰ of 2013 to 2015 of 1. 74‰,which showed a downward trend. Conclusion The hospital neonatal wards incidence of hospital infection in children with presents shows downward trend year by year. Neonatal respiratory tract and blood flow related infections should be the control key.