NICU医院感染相关因素分析

发布时间：2019-06-13 18:40

【摘要】：目的研究新生儿重症监护病房(NICU)内发生医院感染的高危因素,并采取措施进行预防,以降低NICU新生儿医院感染发生率。方法选择医院NICU自2011年12月-2012年12月收治的3276例患儿为研究对象,参考医院感染诊断标准,筛选出获得医院感染的患儿162例,并采取单因素分析对医院感染相关高危因素进行分析,讨论控制措施。结果性别对NICU新生儿医院感染率无影响;体质量≤1500、1501～2000、2001～2500、2500g的医院感染率分别为29.88%、12.34%、2.48%、1.23%,不同体质量组间比较差异有统计学意义(P0.05);胎龄28、28～32、32～37、37周的患儿医院感染率分别为21.88%、18.99%、8.11%、0.93%,不同胎龄组间比较差异有统计学意义(P0.05);出生体质量≤1500g、胎龄≤32周、小于胎龄儿、新生儿窒息、机械通气、静脉营养是发生医院感染的相关危险因素(P0.01)。结论 NICU新生儿医院感染率高,其发生与胎龄、出生体质量和医疗操作过程相关,应当严格规范医疗程序,提高患儿免疫力,从而控制新生儿NICU医院感染的发生。
[Abstract]:Objective To study the high risk factors of nosocomial infection in the neonatal intensive care unit (NICU) and to take measures to prevent the nosocomial infection in the NICU. Methods From December,2011 to December,2012, a total of 3276 children with nosocomial infection were selected from NICU from December of 2011 to December 2012.162 cases of children with nosocomial infection were selected, and the risk factors related to hospital infection were analyzed by single factor analysis, and control measures were discussed. Results There was no effect on the infection rate of the neonatal hospital in the NICU. The nosocomial infection rates of the body mass of 1500,1501 to 2000,2001 to 2500, and 2500 g were 29.88%, 12.34%, 2.48% and 1.23%, respectively. The hospital infection rate was 21.88%, 18.99% and 8.11%, respectively. 0.93%, the difference between the different gestational age groups was statistically significant (P0.05); the mass of the birth body was 1500 g, the gestational age was 32 weeks, and it was less than that of the gestational age, the neonatal asphyxia, the mechanical ventilation and the intravenous nutrition were the relevant risk factors of the hospital infection (P0.01). Conclusion The infection rate of NICU is high, and its occurrence is related to the gestational age, the quality of the birth body and the medical operation. The medical procedure should be strictly regulated, the immunity of the child is improved, and the infection of the NICU hospital in the newborn is controlled.
【作者单位】：濮阳市妇幼保健院感染办;濮阳市妇幼保健院护理部;濮阳市妇幼保健院ICU;
【基金】：濮阳市卫生局市立重点基金项目(YF-2009-B039)
【分类号】：R181.3

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