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目的探讨极低出生体重儿院内感染的临床特点、诊断及治疗。方法分析我院新生儿科极低出生体重儿发生院内感染病例63例的临床资料。结果 63例患儿中39例经积极抗感染治疗后感染控制,后继续治疗顺利出院,18例转上级医院后治愈,6例放弃治疗出院。结论住院时间超过1周院内感染发生率明显增高,且早期表现较隐匿,了解其发病特点对极低出生体重儿院内感染的预防与控制有明显帮助。
Objective To investigate the clinical features, diagnosis and treatment of nosocomial infections in very low birth weight infants. Methods The clinical data of 63 cases of nosocomial infections in neonates with very low birth weight in our hospital were analyzed. Results Of the 63 cases, 39 cases were infected with active anti-infective therapy and were discharged after continued treatment. 18 cases were cured after getting upper-level hospitals and 6 cases were given up for treatment. Conclusions The incidence of nosocomial infections in hospitalized for more than one week is significantly higher than that of nosocomial infections in early stage. It is helpful to understand the pathogenesis of NOS in prevention and control of nosocomial infections in very low birth weight.