母婴同室新生儿皮肤感染及医护人员带菌情况的调查

发布时间：2018-07-10 08:11

本文选题：新生儿 + 皮肤感染　；参考：《中外医学研究》2017年11期

【摘要】：目的:调查笔者所在医院产科病房新生儿皮肤感染及接触新生儿的医护人员带菌情况,探讨降低母婴同室新生儿皮肤感染的措施。方法:前瞻性研究2015年1-12月笔者所在医院产科病房新生儿皮肤感染与接触新生儿医护人员的带菌情况。对新生儿皮肤感染取样后进行细菌培养及菌株鉴定。每周定期对医护人员手及鼻前庭进行取样,标本进行细菌分离和鉴定。结果:2015年笔者所在医院产科病房新生儿4032例,发生皮肤感染78例,皮肤感染的发生率为1.94%,上半年与下半年比较差异无统计学意义(P0.05)。共检出病原菌52株,金黄色葡萄球菌(金葡菌)最常见,占25.0%。接触新生儿医护人员手及鼻腔样本共978例,细菌检测阳性率为19.3%。上半年及下半年细菌检测阳性率分别为24.1%及14.5%,两者之间差异有统计学意义(P0.05)。鼻腔样本细菌检测阳性率为26.4%,手样本细菌检测阳性率为12.3%,鼻腔样本细菌检测阳性率明显高于手样本(P0.05)。结论:金黄色葡萄球菌是新生儿皮肤感染主要的致病菌。加强医护人员手及鼻腔卫生的培训及监管,可有效降低带菌率。
[Abstract]:Objective: to investigate the situation of neonatal skin infection in obstetrical ward of our hospital and the medical staff carrying bacteria in contact with newborn, and to explore the measures to reduce neonatal skin infection in the same room of mother and infant. Methods: a prospective study of neonatal skin infection and exposure to neonatal health care workers in our hospital from January to December 2015 was carried out. The bacterial culture and strain identification were carried out after sampling the skin infection of newborn. Samples of hand and nasal vestibule were sampled regularly and bacteria were isolated and identified. Results: in 2015, there were 4032 neonates in obstetrical ward of our hospital, 78 cases of skin infection, the incidence of skin infection was 1.94. There was no significant difference between the first half and the second half of the year (P0.05). A total of 52 strains of pathogenic bacteria were detected, among which Staphylococcus aureus (Staphylococcus aureus) was the most common (25.0%). A total of 978 cases were exposed to the hands and nasal cavity of newborn doctors and nurses, and the positive rate of bacteria test was 19.33. The positive rates of bacteria in the first half and second half of the year were 24.1% and 14.5g, respectively. The difference between them was statistically significant (P0.05). The positive rate of bacteria detection in nasal cavity samples was 26.4g, and that in hand samples was 12.3.The positive rate of nasal samples was significantly higher than that of hand samples (P0.05). Conclusion: Staphylococcus aureus is the main pathogen of skin infection in neonates. Strengthen the training and supervision of hand and nasal hygiene, can effectively reduce the rate of infection.
【作者单位】：北京市大兴区人民医院;
【基金】：首都医学发展科研基金资助项目(项目编号:2007-3201)
【分类号】：R473.72

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