母婴同室相关性感染监测分析与对策

Analysis and Countermeasures of Rooming-In Related Infection Monitoring

目的:对母婴同室近4年来前瞻性感染监测数据进行统计分析,以了解母婴同室医院感染特点,制定降低母婴同室的产妇医院感染率的预防对策。方法:监测统计2013~2016年母婴同室的产妇医院感染发生率、感染部位、发生的季节与病原体,比较近4年之间发生的差异。结果:2013~2016年共入院12,478例产妇,发生院内感染有49例,其中2013年发病率0.67%,2014年发病率0.38%,2015年发病率0.28%,2016年发病率0.21%,在发生医院感染49例中,2013年发生23例,2014年13例,2015年7例,感染部位排序在首位的是上呼吸道27例占55.10%,其次为生殖道17例占34.7%、表浅切口2例占4.08%、泌尿系统3例占6.12%。感染病原体送检情况,从2013年送检率的68.18%上升至2016年100%。结论:母婴同室发生院内感染部位以上呼吸道感染为最高,是预防和控制重点。加强母婴同室的病房安全管理,真正落实健康教育,切实执行病房消毒隔离措施,减少陪客的探视,严格执行手卫生,可以明显降低母婴同室医院感染的发病率。

Objective: This paper statistically analyzes prospective infection monitoring data of rooming-in in nearly three years, to understand the characteristics of the nosocomial infection of rooming-in, and make lower rooming-in maternal hospital infection prevention countermeasures. Methods: From 2013 to 2016, the incidence, location, season and pathogen of maternal hospital infection in the same room between mother and baby were monitored and calculated, and the differences between the two groups in the last three years were compared. Results: Hospital during 2013-2016, 12,478 cases of puerpera, nosocomial infection occurred in 49 cases, among them 0.67% incidence in 2013, 0.38% incidence in 2014, 0.28% incidence in 2015, 0.21% incidence in 2016;among the 49 cases, 23 cases happened in 2013, 13 cases in 2014 and 7 cases in 2015, and the infection site ranking in the first place is upper respiratory tract in 27 cases (55.10%), followed by genital tract in 17 cases (34.7%), superficial incision in 2 cases (4.08%), urinary system in 3 cases (6.12%). The delivery rate of infectious pathogens increased from 68.18% in 2013 to 100% in 2016. Conclusion: The respiratory tract infection above the nosocomial infection site was the highest in maternal and infant cohabitation, which was the key point of prevention and control. Strengthening the safety management in rooming-in wards, the real implementation of health education, carrying out disinfection and isolation measures ward, reducing the guest the visitation, and strictly performing hand hygiene, can obviously reduce the incidence of nosocomial infection of rooming-in.