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目的了解手足口病重症患儿的医院感染发生率及危险因素。方法采取目标性监测方法,对某医院2010年4-8月重症监护室入住的手足口病重症患儿医院感染情况进行了调查。结果调查期间该重症监护室共监测手足口病重症患儿406例,发生医院感染59例、68例次,感染率14.53%、感染例次率16.75%。感染患儿中,接受侵入性操作最多的项目是气管切开、气管插管、使用呼吸机和留置鼻胃管等。结论手足口病重症患儿医院感染主要危险因素是使用各种插管。
Objective To understand the incidence and risk factors of nosocomial infection in children with HFMD. Methods A targeted surveillance method was used to investigate the prevalence of nosocomial infections in children with hand-foot-mouth disease in a hospital from April to August in 2010. Results During the survey, 406 cases of severe hand-foot-mouth disease were monitored in the intensive care unit. 59 cases were hospitalized and 68 cases were hospitalized. The infection rate was 14.53% and the infection rate was 16.75%. Infected children, to accept the most invasive operation of the project is tracheotomy, endotracheal intubation, use of ventilator and indwelling nasogastric tube and so on. Conclusions The main risk factor for nosocomial infection in HFMD children is the use of various intubation.