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目的分析肝病患儿中院感病例发生的相关因素,探讨预防对策。方法采取回顾性调查方式,对本科室2013年1月~2016年12月院感发生率及院感患儿住院时间、院感部位、机体免疫功能、药物使用情况进行调查分析。结果院感发生与患儿的自身免疫力、抗生素及免疫抑制剂的使用、住院时间相关,其中使用免疫抑制剂患儿发生院感比例大;住院时间越长,院感发生率越高;干预后患儿院感感染率逐步降低,发生比例由消化道感染变为呼吸道感染为主。结论肝病患儿机体防御功能低下,住院时间长,抗生素及免疫抑制剂的使用及医务人员消毒隔离意识淡薄是导致院感发生的重要因素,采取相应的预防措施,加强院感管理可以有效降低院感发生率。
Objective To analyze the related factors of nosocomial symptoms in children with liver diseases and to explore the preventive measures. Methods A retrospective survey was conducted to investigate the incidence of nosocomial infection and the hospitalization time, nosocomial sites, immune function and drug use in the department from January 2013 to December 2016. Results Nausea occurred in children with autoimmune immunity, the use of antibiotics and immunosuppressive agents, the length of hospital stay, immunosuppressive agents in children with a large proportion of hospitalized; hospital stay longer, the higher the incidence of hospitalization; Intervention After the infection rate of nosocomial infection gradually reduced, the proportion of the change from the digestive tract infection to respiratory tract infection. Conclusions Children with liver disease have low defensive function, long hospital stay, the use of antibiotics and immunosuppressive agents and the weak disinfection and isolation consciousness of medical staff, which are the important factors leading to the occurrence of nosocomial infection. Taking appropriate precautionary measures and strengthening the management of nosocomial infection can effectively reduce the incidence of nosocomial infection The incidence of flu.