新生儿感染性疾病治疗与干预的探讨

Study on the Treatment and Intervention on Infectious Disease of the Newborn

目的探讨新生儿感染性疾病的发病因素、致病细菌的流行病学和常见抗生药物的敏感性,并提出干预措施。方法对126例住院新生儿感染性疾病患儿进行回顾性分析。结果新生儿感染性疾病发生率为28.7‰,疾病种类为新生儿肺炎、吸入性肺炎、上呼吸道感染。每年产科并发症前3位为羊水混浊、胎膜早破、生殖道感染。21例严重感染病例细菌感染为表皮葡萄球菌、大肠埃希氏菌、肺炎克雷佰氏菌、卡他双球菌。4类抗生素药敏对以上4种菌种总敏感率为94.4%,4类抗生素依次为:亚胺硫酸霉素、头孢噻肟、环丙沙星、丁胺卡那,壮观霉素、克林霉素等。结论新生儿感染性疾病的发生与很多因素有关,应及时治疗并提出干预措施。

OBJECTIVE To investigate the epidemiological characteristric of pathogenic factors and pathogen of infectious disease of the newborn,and the sensitivity of common antibiont to raise intervention measures.METHOD 126 in patients of the newborn having infectious disease were retrospective analyzed.RESULTS The incidence rate of the infectious disease of the newborn was 28.7‰ Disease category was:pneumonia of the newborn,aspiration pneumonia,upper respiratory infection.The first three obstetrical complications were:amniotic fluid opacity,premature rupture of fetal membranes,gonoduct infection.Germs of the 21 serious infectious cases were:Staph.epidermidis,E.escherichia,K.pneumoniae.Four types of antibioties sensitivity rate to the germs were 94.4%,they were :Imipemide,Cefotaxime,Ciprofloxacin,Amikacin,Trobicin and CLICL indamycin etc.CONCLUSION Infectious disease of the newborn is related to many factors and should be treated on time and intervention measures should be raised.