儿科住院并发医院获得性肺炎的影响因素及其预测

Influencing Factors and Prediction of Nosocomial Pneumonia in Pediatric Inpatients

目的探讨儿科患者院内并发获得性肺炎的危险因素。方法选取2021年12月至2023年7月儿科收治的400名患者资料进行回顾性研究,采用Logistic回归分析总结儿科住院患者并发医院获得性肺炎的危险因素。结果400名儿科住院患者并发医院获得性肺炎27例,发生率6.75%。单因素分析结果显示:入住ICU、住院时间、机械通气、糖皮质激素、预防性使用抗生素是儿科住院患者医院获得性感染的相关因素。Logistic回归分析显示:入住ICU、住院时间、机械通气和未预防性使用抗生素是导致儿科住院患者并发医院获得性肺炎的独立风险因素。结论儿科住院患者并发医院获得性肺炎的潜在风险较高,根据独立风险因素加以预见性干预或能够取得有效的预防效果。

Objective To explore the risk factors of nosocomial acquired pneumonia in pediatric patients.Methods The data of 400 pediatric inpatients from December 2021 to July 2023 were retrospectively studied,and the risk factors of nosocomial pneumonia in pediatric inpatients were summarized by Logistic regression analysis.Results There were 27 cases of hospital-acquired pneumonia in 400 pediatric inpatients,the incidence rate was 6.75%.Univariate analysis showed that admission to ICU,length of stay,mechanical ventilation,glucocorticoid and preventive use of antibiotics were the related factors of nosocomial infection in pediatric inpatients.Logistic regression analysis showed that admission to ICU,length of stay,mechanical ventilation and prophylactic use of antibiotics were independent risk factors for nosocomial pneumonia in pediatric inpatients.Conclusion The potential risk of pediatric inpatients complicated with hospital-acquired pneumonia is high.Predictive intervention according to independent risk factors may achieve effective preventive effect.