飞行检查对危重新生儿医院感染的预防控制效果研究

发布时间：2019-03-12 17:10

【摘要】：目的探讨飞行检查对住院危重新生儿医院感染的预防控制效果。方法对医院2012年1月-2015年12月新生儿重症监护室(NICU)实施飞行检查预防控制管理医院感染,2008年1月-2011年12月为未实施阶段;比较实施飞行检查前后医院感染率,手卫生依从率、洗手正确率、手卫生知识知晓率、医院感染知识知晓率,环境卫生抽查监测合格率和医务人员手监测合格率;医院感染患儿进行病原菌检测。结果飞行检查实施前NICU入住患儿共4588例,医院感染202例,感染率为4.40%;飞行检查实施后NICU入住患儿共5754例,医院感染160例,感染率为2.78%;飞行检查实施后NICU医院感染率显著低于实施前(P0.05);飞行检查实施前202例医院感染患儿,共检出257例病原菌,其中革兰阳性菌106株,占41.25%,革兰阴性菌141株,占54.86%,真菌10株,占3.89%;飞行检查实施后160例医院感染患儿,共检出199例病原菌,其中革兰阳性菌80株,占40.20%,革兰阴性菌111株,占55.78%,真菌8株,占4.02%,实施前后,医院感染病原菌构成比较差异无统计学意义;与飞行检查实施前相比,飞行检查实施后手卫生依从率、洗手正确率、手卫生知识知晓率、医院感染知识知晓率,环境卫生抽查监测合格率和医务人员手监测合格率均显著提高(P0.05)。结论飞行检查方法用于住院危重症新生儿医院感染的预防控制管理,有助于提高医护人员手卫生状况和相关知识知晓率,从而降低医院感染的发生率。
[Abstract]:Objective to investigate the preventive and control effect of flight examination on nosocomial infection in critically ill newborns. Methods from January 2012 to December 2015, flight examination, prevention and control of nosocomial infection were carried out in the neonatal intensive care unit (NICU) of the hospital, and the period from January 2008 to December 2011 was not implemented. The hospital infection rate, hand hygiene compliance rate, hand hygiene knowledge awareness rate, hospital infection knowledge awareness rate, environmental hygiene spot inspection rate and hand monitoring pass rate were compared before and after flying examination. Pathogenic bacteria were detected in children with nosocomial infection. Results A total of 4588 children were admitted to NICU before flying examination, and the infection rate was 4.40%. After flying examination, 5754 cases were admitted to NICU and 160 cases were nosocomial infection, the infection rate was 2.78%. The nosocomial infection rate of NICU after flying examination was significantly lower than that before implementation (P0.05). A total of 257 pathogenic bacteria were detected in 202 children with nosocomial infection before flying examination, including 106 gram-positive bacteria (41.25%), 141 gram-negative bacteria (54.86%) and 10 fungi (3.89%). A total of 199 pathogenic bacteria were detected in 160 children with nosocomial infection after flight examination. Among them, 80 strains (40.20%) were Gram-positive bacteria, 111 strains (55.78%) were Gram-negative bacteria, 8 strains (4.02%) were fungi, and before and after implementation, there were 8 strains (4.02%). There was no significant difference in the composition of pathogenic bacteria in hospital infection. Compared with the pre-flight examination, the follow-up rate of hand hygiene, the correct rate of hand washing, the awareness rate of hand hygiene knowledge, and the awareness rate of hospital infection knowledge in flight examination were higher than those before the implementation of flight examination. The qualified rate of environmental hygiene spot check and monitoring and the qualified rate of hand monitoring of medical staff were significantly increased (P0.05). Conclusion Flight examination can be used for the prevention and control of nosocomial infection in critically ill neonates in hospital. It is helpful to improve the awareness rate of hand hygiene status and related knowledge among medical staff, and thus to reduce the incidence of nosocomial infection.
【作者单位】：滨州医学院附属医院新生儿与新生儿重症科;滨州医学院附属医院健康管理部;
【分类号】：R722.13

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