新生儿重症监护室医院感染目标监测的价值初步分析

Value of monitoring of nosocomical infection of neonates in intensive care unit

目的 探究新生儿重症监护室医院感染目标监测的价值。方法 选择1585例新生儿为研究对象,实施医院感染相关危险因素分析,制定出有针对性的预防措施。结果 在所有新生儿中,出现院内感染者共计51例,感染率为3.22%。发生医院感染共计53例次,感染例次率为2.56%。患者住院天数、平均住院天数、调整日感染率、调整日感染例次率组间比较差异有统计学意义（P〈0.05）。导管相关血流感染构成比与静脉留置时间差别不大,从呼吸机相关肺炎（VAP）发生例数和置管时间来看,以置管2~6 d感染构成比例最多,占总数的75.00%。医院感染部位主要以下呼吸道,VAP,导管相关血流感染为主要类型。结论 侵袭性操作,手卫生执行不到位是引致新生儿院内感染的高危因素,在实际临床工作中,要强化干预措施,做好人员培训工作,在最大程度上降低新生儿医院感染的发生率。

Objective To explore value of nosocomical infection of neonates in intensive care unit. Methods A total of 1585 neonates in intensive care unit were selected as the research objects, risk factors were analyzed, and targeted preventive measures were implemented. Results There were 51 patients （3.22%） with nosocomial infection, and were 53 cases（2.56%） with hospital infection. There were significant differences in hospital stays, average hospitalization days, and adjustment daily infection rate （P〈0.05）. There were no significant difference in catheterrelated bloodstream infections and venous indwelling time. The proportion of 2～6 days with catheter infection was the largest（75.00%）. The nosocomial infection was mainly located in respiratory tract, VAP and catheterrelated blood infections were main infections. Conclusion Invasive operation and poor hand hygiene are main risk factors of neonatal nosocomial infection. Strengthening the infection intervention measures and personnel training can reduce the incidence of neonatal nosocomial infection.