新生儿重症监护病房医院感染检测结果分析及干预策略

发布时间：2019-07-10 10:07

【摘要】：目的了解新生儿重症监护病房(NICU)医院感染的发生情况,研究及分析感染相关因素,评价NICU医院感染目标性监测,探讨有效的预防和控制措施。方法选取2013年8月-2015年4月医院2 031例重症监护病房新生儿为研究对象;对新生儿重症监护病房医院感染检测结果进行分析,观察新生儿医院感染部位构成比、不同体质量组别医院感染率、呼吸机、中央导管使用率和相关感染率。结果医院感染部位以下呼吸道为主,占40.00%,2 031例监测新生儿中,发生医院感染80例,感染率3.93%;新生儿出生体质量与医院感染发生存在线性趋势,出生体质量越轻,感染率越高,其中≤1 000g患儿感染率为36.84%,1001~1500g感染率为11.74%,1501~2000g感染率为3.68%,2500g感染率为0.65%;呼吸机使用率为17.30%。呼吸机相关性肺炎为2.59%,中央导管使用率为9.58%,相关血流感染为2.96%,新生儿出生体质量与各器械使用率发生存在线性趋势,出生体质量越轻,使用率越高,呼吸机使用率中,≤1000g使用率为34.78%,1001~1500g使用率为22.27%,1501~2000g使用率为15.20%,2500g使用率为14.56%。中央导管使用率中,≤1000g使用率为70.65%,1001~1500g使用率为21.34%,1501~2000g使用率为4.88%,2500g使用率为0.54%。结论对新生儿重症监护病房进行监测并对结果进行分析,能够掌握新生儿医院感染的情况以及感染原因,采取相应的措施后能够减少医院感染率的发生。
[Abstract]:Objective to investigate the occurrence of (NICU) hospital infection in neonatal intensive care unit (ICU), to study and analyze the related factors of infection, to evaluate the target surveillance of NICU hospital infection, and to explore effective prevention and control measures. Methods from August 2013 to April 2015, 2031 neonates in intensive care unit (ICU) were selected as the subjects, and the results of hospital infection in neonatal intensive care unit (ICU) were analyzed, and the proportion of hospital infection sites, hospital infection rate, ventilator, central catheter utilization rate and related infection rate in different body mass groups were observed. Results the lower respiratory tract was the main site of hospital infection, accounting for 40.00%. Among 2031 neonates monitored, 80 cases had hospital infection, the infection rate was 3.93%, the birth weight of newborn was linear with the occurrence of hospital infection, the lighter the birth weight, the higher the infection rate, the infection rate of 鈮，

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