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目的了解新生儿病房患儿医院感染特点和现状,提出有效的干预措施,加强新生儿病房感染管理。方法通过目标性监测方法,对某医院新生儿病房医院感染状况进行监测和分析。结果共调查新生儿病房住院患者2 832例,发生医院感染69例,医院感染率为2.4%;以呼吸道和血液相关感染为主。呼吸机相关性肺炎(VAP)发生率为4.5%,中心静脉导管相关感染(CRBSI)的发生率为8.5%。千日感染率从2013年的4.22‰下降至2015年的1.74‰,呈下降趋势。结论该医院新生儿病房患儿医院感染发生率呈现逐年下降趋势,新生儿呼吸道和血流相关感染为控制重点。
Objective To understand the characteristics and current status of nosocomial infection in children with neonatal ward and to put forward effective interventions to strengthen the management of nosocomial infection in newborn ward. Methods By means of targeted monitoring, the hospital infection status of neonatal ward in a hospital was monitored and analyzed. Results A total of 2 832 hospitalized neonatal ward patients were investigated. 69 cases of nosocomial infection and 2.4% of hospital infection occurred. Respiratory and blood-related infections were the most common. The incidence of ventilator-associated pneumonia (VAP) was 4.5% and the incidence of central venous catheter-related infection (CRBSI) was 8.5%. The infection rate in a thousand days dropped from 4.22 ‰ in 2013 to 1.74 ‰ in 2015, showing a downward trend. Conclusion The incidence of nosocomial infection in neonatal ward in this hospital shows a declining trend year by year. Respiratory and bloodstream-related neonatal infections are the main control points.