摘要
目的:探索儿科医院感染的危险因素及有效地预防控制措施;方法:通过对在2008年至2011年期间于我院接受住院治疗的13400例患儿的院内感染发生情况进行回顾性分析,总结其发病特点及规律;结果:本次研究病例中有437例发生院内感染,发生率为3.26%;呼吸道感染发生率为26.3%,消化道感染发生率为24.0%,均显著高于其他各部位感染(均P<0.01);感染病原菌构成方面,金黄色葡萄球菌感染的发生率为14.5%,为最高,其次为大肠埃氏菌以及表皮葡萄球菌;易感因素危险程度比较方面,住院时间大于15d的单项OR值为4.2,感染发生率为53.54%,显著高于其他各项易感因素(P<0.01),其次为免疫抑制治疗;结论:院内感染的预防及控制关键在于医院全体医务人员的全力合作,重视各个治疗环节及细节的质量管理,才能切实做到防患于未然。
Objective: To study nosocomial infection concerning factors and effective control measures.Method: The clinical data of 13400 children with nosocomial infection treated from 2008 to 2011 in our hospital was analyzed retrospectively,and summarized its characteristics and regular pattern.Result: In the study,there were 437 cases with nosocomial infection,incidence rate was 3.26%,The incidence rate of respiratory and digestive tract infection were 26.3% and 24.0%,which were all much higher than other parts,(P0.01 totally).As for the infection bacterium,the incidence rate of golden staphylococcal infection was 14.5%,which was the highest,and escherichia coli secondarily.As for the risk of susceptible factor,the OR of hospital(15days) was 4.2 days,the incidence rate of infection was 53.54%,which was all much higher than other infection factors(P0.01),and immunosuppressive was the second treatment.Conclusion: The full cooperation of all medical staff in the hospital is the key factor to prevent and control the nosocomial infection,Pay more attention to the quality management of the various aspects of treatment and details,and take preventive measures.
出处
《河北医学》
CAS
2012年第11期1558-1560,共3页
Hebei Medicine
关键词
儿科
院内感染
发病特点
易感因素
预防措施
Pediatrics
Nosocomial infection
Characteristics
Infection factors
Preventive measures