儿科医院呼吸道感染的现患率调查

发布时间：2018-04-26 04:19

本文选题：儿科 + 呼吸道　；参考：《中华医院感染学杂志》2014年01期

【摘要】：目的对医院儿科住院患儿医院呼吸道感染现患率进行调查,以了解儿科呼吸道感染现状,以降低感染率。方法调查时间选择2013年1月16日8∶00-2013年1月17日8∶00采取病历资料检查与现场调查方式相结合,对儿科326例患儿医院呼吸道感染现患率进行调查,采用SPSS13.0软件进行统计分析,计数资料行χ2检验,在单变量分析的基础上,对存在统计学差异的影响因素纳入logistic回归分析,P0.05为差异有统计学意义。结果 326例患儿,发生呼吸道感染21例,感染率为6.44%;年龄、住院时间、侵入性操作、抗菌药物联用、使用糖皮质激素、原发疾病为呼吸道感染的相关因素(P0.05);多因素logistic回归分析结果显示,侵入性操作、抗菌药物联用、使用糖皮质激素为呼吸道感染的独立危险因素;共培养病原菌21株,其中革兰阴性菌13株占61.90%;以铜绿假单胞菌、肺炎克雷伯菌、大肠埃希菌为主;革兰阳性菌8株占38.10%,以金黄色葡萄球菌、表皮葡萄球菌为主;病原菌对氨苄西林、左氧氟沙星、红霉素耐药率较高,对亚胺培南较敏感。结论根据现患率调查结果,针对感染相关因素制定有效的诊治对策,规范抗菌药物及糖皮质激素药物的使用,减少侵入性操作以降低医院感染的发生。
[Abstract]:Objective to investigate the prevalence of nosocomial respiratory tract infection in pediatric hospitalized children in order to understand the present situation of respiratory tract infection in pediatrics and reduce the infection rate. Methods from January 16, 2013 to January 17, 2013, 8: 00 to 8:00 on January 17, 2013, the incidence of nosocomial respiratory tract infection in 326 pediatric patients was investigated. SPSS13.0 software was used to carry out statistical analysis and count data were analyzed by 蠂 2 test. On the basis of univariate analysis, the influencing factors of statistical difference were included in logistic regression analysis (P 0.05) and the difference was statistically significant. Results among 326 cases, 21 cases had respiratory tract infection, the infection rate was 6.44.The age, length of stay, invasive operation, combined use of antimicrobial agents, glucocorticoid, and glucocorticoid were used. The results of multivariate logistic regression analysis showed that invasive operation, combined use of antibiotics and glucocorticoid were independent risk factors for respiratory tract infection. Of these, 13 Gram-negative bacteria accounted for 61.90; Pseudomonas aeruginosa, Klebsiella pneumoniae, Escherichia coli; Gram-positive bacteria 8 strains, mainly Staphylococcus aureus and Staphylococcus epidermidis; pathogenic bacteria to ampicillin, levofloxacin, Erythromycin resistance rate was high and sensitive to imipenem. Conclusion according to the results of the investigation on the prevalence of infection, we should make effective diagnosis and treatment strategies for infection related factors, standardize the use of antibiotics and glucocorticoids, and reduce the invasive operation in order to reduce the incidence of nosocomial infection.
【作者单位】：郑州市儿童医院感染性疾病科;郑州市儿童医院消化科;郑州市儿童医院医院感染管理科;
【基金】：郑州市科技局计划基金项目(20130569)
【分类号】：R181.3

【参考文献】