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目的分析新生儿重症监护病房(NICU)医院感染情况,为有效预防和控制NICU医院感染提供依据。方法回顾性分析2013年1-12月NICU发生的266例医院感染病例的临床资料。结果医院感染率为5.16%,感染例次率为5.21%;感染部位以血液为主,占72.49%,其次为胃肠道、下呼吸道和上呼吸道,分别占11.9%、7.43%和6.69%;共分离出病原菌36株,排名前4位病原菌依次为肺炎克雷伯菌60.0%,大肠埃希菌13.3%,鲍曼不动杆菌10.0%,阴沟肠杆菌7.76%;孕母有产科并发症的占49.46%,以胎膜早破为主,其次为前置胎盘和羊水混浊,分别占64.39%、8.33%、8.33%。结论对产妇有胎膜早破的患儿、低出生体重儿应重点关注,制定综合干预措施,降低医院感染发生率。
Objective To analyze nosocomial infection in neonatal intensive care unit (NICU) and provide evidence for effective prevention and control of NICU nosocomial infection. Methods The clinical data of 266 cases of nosocomial infections in NICU from January to December in 2013 were analyzed retrospectively. Results The rate of hospital infection was 5.16% and the infection rate was 5.21%. The main infection sites were blood, accounting for 72.49%, followed by gastrointestinal tract, lower respiratory tract and upper respiratory tract, accounting for 11.9%, 7.43% and 6.69% respectively. A total of 36 pathogenic bacteria were isolated, the top 4 pathogenic bacteria were Klebsiella pneumoniae 60.0%, Escherichia coli 13.3%, Acinetobacter baumannii 10.0%, Enterobacter cloacae 7.76%; pregnant women with obstetric complications Accounting for 49.46%, premature rupture of membranes, followed by placenta previa and amniotic fluid opacity, accounting for 64.39%, 8.33%, 8.33%. Conclusion In preterm premature rupture of membranes in children, low birth weight children should focus on the development of comprehensive interventions to reduce the incidence of nosocomial infections.