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目的:探讨儿科患者院内感染的危险因素,提出有效的防范措施。方法:回顾性分析2014年2月~2015年12月温州医科大学附属第二医院儿科收治的1300例患儿的临床资料,分析患儿住院期间的院内感染情况,根据危险因素采取有效的防范措施。结果:有102例患儿发生院内感染,院内感染率为7.85%。其中以上呼吸道感染发生率最高,其次为呼吸道感染和下呼吸道感染,分别为50.99%、24.51%、21.57%。儿科院内感染危险因素包括患儿营养不良、医务人员手卫生执行差、消毒隔离不规范、抗生素使用不合理等。结论:儿科患儿院内感染发生较普遍,以上呼吸道感染发生率为主。针对儿科院内感染的危险因素采取有效防范和干预,降低院内感染发生率。
Objective: To investigate the risk factors of nosocomial infection in pediatric patients and to put forward effective preventive measures. Methods: The clinical data of 1300 children admitted to the Second Affiliated Hospital of Wenzhou Medical University from February 2014 to December 2015 were retrospectively analyzed. The nosocomial infections during hospitalization were analyzed, and effective preventive measures were taken according to the risk factors . Results: There were 102 cases of nosocomial infection, the rate of nosocomial infection was 7.85%. Among them, the highest incidence of respiratory tract infection was found, followed by respiratory tract infection and lower respiratory tract infection, which were 50.99%, 24.51% and 21.57% respectively. Risk factors for pediatric nosocomial infections include malnutrition in children, poor performance of hand hygiene by medical staff, non-standard disinfection and isolation, unreasonable use of antibiotics and so on. Conclusion: The incidence of nosocomial infections in pediatric patients is more common, and the incidence of upper respiratory tract infection is the most common. For the risk factors of pediatric nosocomial infection to take effective prevention and intervention to reduce the incidence of nosocomial infections.