摘要
目的探讨重症监护病房新生儿医院感染的特点及危险因素。方法选择2017年1月-2019年5月间我院儿科重症监护病房新生儿2 498例作为研究对象,对其临床资料展开回顾性分析,对新生儿医院感染影响因素进行总结分析。结果检出新生儿感染143例,感染发生率为5.72%,主要包括肺炎、败血症、腹泻等;主要致病菌为革兰阴性菌;感染发生的高危因素包括基础疾病≥3种、出生体重≤1.5 kg、胎龄≤30周、羊水污染、静脉营养、机械通气、新生儿窒息、侵入性操作、住院时间等。结论新生儿重症监护病房的医院感染问题受到诸多因素影响,临床应积极采取有效应对措施,规避医院感染高危因素,降低新生儿重症监护室医院感染发生率,减少医疗纠纷,提高医疗质量。
Objective The characteristics and risk factors of neonatal nosocomial infection in intensive care unit were analyzed and discussed to provide valuable reference for future clinical work. Methods 2 498 neonates in pediatric intensive care unit of our hospital from January 2017 to May 2019 were selected as the research objects. Their clinical data were retrospectively analyzed,and the influencing factors of nosocomial infection of neonates were summarized and analyzed. Results143 cases of neonatal infection were detected in this study,the incidence of infection was 5.72%. The main clinical manifestations of infection were pneumonia,sepsis and diarrhea. The main pathogenic bacteria were gram-negative bacteria. The high risk factors of infection included three or more basic diseases,birth weight≤1.5 kg,gestational age≤ 30 weeks,amniotic fluid pollution,intravenous nutrition,mechanical ventilation,neonatal asphyxia,invasive operation,hospitalization time,etc.Conclusion Nosocomial infection in neonatal intensive care unit is affected by many factors. Effective measures should be taken to avoid the high risk factors of nosocomial infection,reduce the incidence of nosocomial infection in neonatal intensive care unit,reduce the incidence of medical disputes and improve the quality of medical treatment.
作者
谢亚南
Xie Yanan(.The People's Hospital of Deyang City,Deyang,Sichuan618000)
出处
《基层医学论坛》
2020年第3期324-326,共3页
The Medical Forum
关键词
新生儿重症监护室
医院感染
特点
危险因素
Neonatus intensive care unit
Nosocomial infection
Characteristic
Risk factors
