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目的探讨目标性监测与干预对预防和降低新生儿科医院感染率的效果。方法对新生儿科医院感染状况进行目标性监测,半年后实施针对性的干预措施,分析干预前后医院感染发生的差异。结果干预前后医院感染发生率分别为5.48%和3.33%(P<0.05),感染部位以下呼吸道和上呼吸道为主。干预后呼吸机相关肺炎的发生率从3.43%降至0.05%(P<0.05),中心静脉插管相关血流感染率由0.74%降至0(P<0.05)。分离的病原体以大肠埃希菌和肺炎克雷伯菌为主。结论目标性监测能及时反映感染控制工作中的薄弱环节,通过定期下科室巡查及采取干预措施能有效控制医院感染的发生。
Objective To explore the effect of targeted monitoring and intervention on preventing and reducing nosocomial infection rate in neonates. Methods Objective To monitor the infection status of neonates and nosocomial hospitals. Six months later, targeted interventions were carried out to analyze the differences of nosocomial infections before and after the intervention. Results The incidence of nosocomial infections before and after intervention was 5.48% and 3.33% respectively (P <0.05). The main respiratory tract and upper respiratory tract were below the site of infection. The incidence of ventilator-associated pneumonia decreased from 3.43% to 0.05% after intervention (P <0.05), and the rate of central venous catheter-related bloodstream infection decreased from 0.74% to 0 (P <0.05). The isolated pathogens were Escherichia coli and Klebsiella pneumoniae. Conclusion Objective monitoring can reflect the weak links in infection control in a timely manner. It is possible to effectively control the occurrence of nosocomial infections through routine departmental inspections and interventions.