摘要
目的探讨新生儿鲍曼不动杆菌(Ab)相关性感染的危险因素,以利于实施预防措施,有效控制感染的发生。方法收集本院26例新生儿感染Ab的患儿住院资料,包括孕周、出生时体重、入院时间、有无其他原发病、有无侵入性操作、有无呼吸机使用、抗菌药物使用天数、抗菌药物使用种数、感染类型等进行回顾性分析。结果性别以及合并其他细菌的种类数、感染类型不是引起此类感染的危险因素以外,其余如孕周比较小的早产儿、体重低于1500g的患儿、接受过侵入性操作的患儿、使用呼吸机的患儿、抗生素使用种类较多以及使用时间比较长的患儿都是引起NICU内患儿感染Ab的高危因素。结论加强护士手卫生的执行,加强病房的消毒隔离,切断传播途径,减少非必要抗生素的使用,从而有效地减少新生儿Ab的感染。
Objective To explore risk factors of neonatal Ab associated infection,to implement preventive measures and control occurrence of infection effectively.Methods The paper reviewed and analyzed hospitalization data of 26 newborns infected with Ab in our hospital,including gestational age,birth weight,admission time,presence or absence of other primary diseases,invasive procedures,respirators use,days of antibiotics use,number of types of antibiotics,and type of infection.Results Gender and number of types and types of infections associated with other bacteria,were not risk factors for infection,high-risk factors for Ab infection in NICU included premature infants with relatively small gestational age,weight less than 1500 grams,invasive procedures,ventilators use,multiple types of antibiotics use,long time antibiotics use.Conclusion Strengthening hand hygiene of nurses,disinfection and isolation of wards,cutting off transmission routes,and reducing unnecessary antibiotics use can reduce infection of newborns with AB effectively.
作者
张凯
李治锋
ZHANG Kai;LI Zhifeng(Laboratory Department,Sihong County Zhongxin Hospital,Suqian,Jiangsu,223900;Laboratory Department,Sihong Hospital,Suqian,Jiangsu,223900)
出处
《智慧健康》
2023年第25期202-206,共5页
Smart Healthcare