论文部分内容阅读
目的了解新生儿重症监护病房(neonatal intensive care unit,NICU)医院感染现状,探讨相关危险因素,为预防感染提供依据。方法采取目标性监测方法,按卫生部《医院感染监测规范》中的相关要求,对2011年1月-2011年12月入住NICU所有新生儿进行目标性监测,并对监测结果进行统计分析。结果监测新生儿1 285例、8 685个住院日,医院感染发病率4.36%,日感染率6.45‰;呼吸机使用率11.12%,呼吸机相关肺炎(ventilator associated pneumonia,VAP)发病率3.11‰;中央导管使用率8.22%,中央导管相关血流感染(central line-associated bloodstream infection,CLABSI)发病率2.80‰;感染率与出生体重密切相关,下呼吸道为常见感染部位。结论应根据NICU医院感染的发生特点,加强目标性监测工作,及时采取干预措施,以降低医院感染的发生。
Objective To understand the status of nosocomial infection in neonatal intensive care unit (NICU) and to explore the related risk factors so as to provide basis for prevention of infection. Methods By means of targeted monitoring, all newborns admitted to the NICU from January 2011 to December 2011 were targeted monitored according to the relevant requirements in the “Guidelines for Monitoring Infection of Nosocomial Infectious Diseases” of the Ministry of Health, and statistical analysis of the monitoring results was carried out. Results A total of 1 285 neonates and 8 685 hospitalizations were monitored. The incidence of nosocomial infection was 4.36%. The daily infection rate was 6.45 ‰. The ventilator utilization rate was 11.12%. The incidence of ventilator - associated pneumonia (VAP) was 3.11 ‰. The rate of central catheterization was 8.22%. The incidence of central line-associated bloodstream infection (CLABSI) was 2.80 ‰. The infection rate was closely related to birth weight. The lower respiratory tract was a common site of infection. Conclusion According to the characteristics of NICU hospital infection, we should strengthen the targeted surveillance and take timely interventions to reduce the incidence of nosocomial infections.