新生儿医院感染目标性监测结果分析

Objective Monitoring Results of Nosocomial Infection in Newborn Infants

目的探析新生儿医院感染目标性监测结果。方法选取2100例新生儿为观察对象,应用回顾性调查方法对新生儿科开展目标性监测,并分析新生儿医院感染相关危险因素。结果本组2100例新生儿中,医院感染率为8.57%;感染例次率为12%,感染部位最显著的是皮肤,所占百分比为28.57%,其次是呼吸道,百分比为21.43%,经气管、血液、分泌物等培养出病原菌88株,其中革兰阴性菌占45.45%,革兰阳性菌占36.36%,真菌占18.18%。通过对新生儿科进行医院感染相关因素的分析,发现男婴、住院时间超过15 d、抗菌药物使用时间超过1周、使用呼吸机以及存在有窒息史均与新生儿医院感染有关,其中男婴、住院时间超过15 d、抗菌药物使用时间超过1周属于新生儿感染的主要危险因素。结论通过对新生儿科开展目标性监测,可尽早发现医院感染,从而利于防范策略的实施。

Objective To analyze the objective monitoring results ofnosocomial infection in newborn infants. Methods 2100 cases neonatal were chosen as the observation object, the target monitoring of nosoeomial infection was carried out by the prospective investigation method, and the risk factors of nosoconfial infection were analyzed. Results The nosocomial infection rate was 8.57% of 2100 cases, Infection cases rate was 12%, the most notable of which was the skin, and the incidence rate of skin infection was 28.57% and Followed by the respiratory tract, the rate was 21.43%. Transtracheal, blood and other secretions cultured pathogen were 88, where in the Gram-negative bacteria accounted for 45.45%, Gram-positive bacteria accounted for 36.36%, fungi accounted for 18.18%. Analysis of the factors related to nosocomial infection in this group of infants and found that male infants, hospital stay more than 15d, antimicrobial drug usage for more than 1 week, the use of ventilators and the presence of a history of asphyxia and neonatal nosocomial infection, major risk factor for neonatal nosocomial infection. Conclusion To carry out targeted monitoring of neonatal department, it can be found nosoeomiaI infection as early as possible, which should be conducive to the implementation of the strategy.