NICU新生儿真菌感染聚集原因分析

Fungal Infection Aggregation Causes Analysis of Neonates in NICU

目的:通过调查某院新生儿科重症监护室(NICU)真菌感染、医院感染聚集的原因,查找护理管理中的薄弱环节,提高护理管理质量。方法:采用前瞻性和回顾性调查相结合的方法,对2016年6月5例真菌感染患者进行调查分析,通过对住院期间患者血标本、痰标本及环境卫生学采样,推断导致真菌感染聚集的原因,进而找出护理管理中的疏漏。结果:2016年6月该院NICU发生5例真菌感染,感染率为4.39%,暖箱储水槽采样结果与患儿临床标本检出真菌菌株一致,暖箱消毒不彻底是导致此次真菌医院感染聚集的主要原因。结论:新生儿暖箱管理是护理管理的薄弱环节。

Objective:To find out the weak link in nursing management and raise nursing management quality by surveying the aggregation reasons of fungal infection and hospital infection in neonatal intensive care unit(NICU)of a hospital.Methods:Adopting the methods of prospective and retrospective investigation,five patients with fungal infection were analyzed in June,2016,the causes of fungal infection aggregation were concluded by taking the samples of blood,sputum and sanitary science during hospitalization period,therefore to find out the careless omission in nursing management.Results:In June,2016,five cases of fungal infection happened in NICU in our hospital,the infection rate was 4.39%,fungal strains were identical which were found in the water storage tank of the incubator and clinical samples of the patients,the incomplete sterilization of the incubator was the main cause of hospital infection aggregation.Conclusion:The management of neonatal incubator is the weak link of nursing management.