摘要
目的：分析儿科医院感染发生的危险因素。方法收集在该院儿科住院的3250例患儿的临床资料，应用回顾性研究方法，分析医院感染的发生情况。结果共73例患儿发生医院感染。医院感染情况：呼吸道感染50例，消化道感染10例，泌尿系感染10例，口腔感染3例。年龄（χ2＝5．76，P ＜0．05）、住院时间（χ2＝6．05，P ＜0．05）、侵入性操作（χ2＝7．75，P ＜0．05）及预防性应用抗生素（χ2＝7．86，P ＜0．05）是发生医院感染的危险因素；病原学检查中，革兰阳性菌中以金黄色葡萄球菌和溶血葡萄球菌为主；革兰阴性菌中以表皮葡萄球菌和肺炎克雷伯为主。结论儿科住院患儿在临床治疗及护理中应注意危险因素，严格无菌操作，对于感染的患儿应及时进行分泌物细菌培养，对指导临床合理用药有一定意义。
Objective To analyze risk factor in children with nosocomial infection of pediatric department. Methods 3 250 children were collected as observation group in recent five yesrs.The infective characteristic were analyzed retrospectively in observation group.Results 73 hospital infective cases were found in the observation group.50 cases of pulmonary infection,10 cases of digestive tract infection,10 cases of urinary system infection,and 3 cases of oral infection.Age（χ2 =5.76,P 〈0.05 ）,duration of hospitalization（χ2 =6.05,P 〈0.05 ）,invasive operation（χ2 =7.75,P 〈0.05）and preventive antibiotics use（χ2 =7.86,P 〈0.05）were correlated with nosocomial infection.Staphylococcus aureus and Staphylococcus haemolyticus of G ＋ strain was most,staphlococcus epidemidis and klebsiella of G -strain was most.Conclusion The risk factors should be paied attention in paediatric cases,as well as strengthen the strict aseptic operation and apply with bacterial culture of secretion,which is of significance to guide clinical medication.
出处
《中国基层医药》
CAS
2015年第13期2043-2044,共2页
Chinese Journal of Primary Medicine and Pharmacy
