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目的调查分析新生儿科2008年一起呼吸道医院感染流行状况,以采取措施避免暴发。方法采用回顾性和前瞻性相结合的调查方法,对发生呼吸道医院感染新生儿病例进行个案调查,同时进行环境卫生学等监测。结果此次新生儿科呼吸道医院感染流行持续1月余,共出现19例感染患儿,医院感染发生率为9.45%,早产儿占63.1%。环境卫生学监测显示不合格样本主要为哺乳间和早婴室空气、空调送风口和暖箱物体表面及实习生的手等。结论此次流行原因包括早婴室通风不畅、集中式空调系统未定期清洁、医护人员手卫生未真正落实等,经过采取各项控制预防措施,流行得到了控制。
Objective To investigate and analyze the epidemic situation of nosocomial respiratory infections in neonatology in 2008 in order to take measures to avoid the outbreak. Methods A retrospective and prospective study was conducted to investigate neonatal cases of nosocomial respiratory infections and to conduct environmental hygiene monitoring. Results The prevalence of nosocomial respiratory infections in hospitals persisted for more than one month. A total of 19 cases of children were infected. The incidence of nosocomial infections was 9.45% and that of premature infants was 63.1%. Environmental hygiene monitoring showed that the sample of non-conformities was mainly breast-feeding and early-infantile room air, air-conditioning air outlet and warm box surface and internship hand and so on. Conclusions The reasons for the epidemic include poor ventilation in early infant infants, lack of regular cleaning of centralized air-conditioning systems, and incomplete implementation of hand hygiene by medical staff. After various control and prevention measures have been taken, the epidemic has been brought under control.