NICU医院感染控制与管理

Control and management of nosocomial infection in NICU

目的:分析NICU重症病房医院感染中存在的问题及控制措施,以降低NICU病房医院感染发生率。方法:2012年5-7月NICU收治新生儿269例作为研究对象,在加强病房感染控制措施后,统计8-10月293例新生儿医院感染情况,分析新生儿感染的相关因素。结果:实施管理措施前后,5-7月269例新生儿,发生感染例数17例,感染率6.3%;感染类型:上呼吸道感染11例,下呼吸道感染6例。8-10月293例新生儿发生感染例数11例,感染率3.7%;感染类型:上呼吸道感染7例,下呼吸道感染4例。两者比较差异有统计学意义(P<0.05)。结论:NICU是医院感染的高危科室,也是医院预防与控制感染的重点部门,通过加强管理、消毒隔离、提高手卫生、合理使用抗生素等有效具体控制管理措施,以降低NICU的感染率。

Objective:To analyze the existing problems and control measures of advanced case sickroom nosocomial infection in NICU,and to reduce the hospital infection rate of NICU.Methods:269 cases of newborns were admitted from May to July 2012. They were as the research object,after strengthen infection control measures,to statistics hospital infection status of 293 cases of newborns from August to October,and analyze the relevant factors of neonatal infection.Results:Before and after the implementation of management measures,there were 17 cases of infection in 269 cases of newborns from May to July,the infection rate was 6.3%,and the type of infection were 11 cases of upper respiratory infection and 6 cases of lower respiratory infection. There were 11 cases of infection in 293 cases of newborns from August to October,the infection rate was 3.7%,and the type of infection were 7 cases ofupper respiratory infection and 4 cases of lower respiratory infection.There was statistically significant difference between two groups(P<0.05).Conclusion:Severe NICU is a high-risk department of nosocomial infection,and it is also a key sector of hospital infection prevention and control.Through strengthen management,disinfection and isolation,improving the hand hygiene,intelligent use antibiotic and other effective specific control measures can reduce the infection rate of NICU.