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目的:探讨新生儿医院感染危险因素与干预对策,为降低新生儿的医院感染发生率提供理论依据。方法:在医院2015年1月到2016年1月期间诊治的住院新生儿中抽取126例作研究对象,分析其医院感染发生率、感染部位,并予以多因素Logistic回归分析,评估新生儿发生医院感染的危险因素,并提供相应干预对策。结果:①本组126例住院新生儿中,医院感染发生率是7.1%(9/126),其中皮肤感染作为多见,其次是肠胃感染;②经多因素Logistic回归分析法发现,侵入性操作、手卫生不达标和重症监护等为新生儿并发医院感染的主要因素。结论:新生儿发生医院感染多因医护人员手卫生不达标、侵入性操作和重症监护等所致,应针对其医院感染的高危因素予以针对性护理干预,以保证住院新生儿安全。
Objective: To explore the risk factors of neonatal nosocomial infection and intervention strategies to provide a theoretical basis for reducing the incidence of nosocomial nosocomial infections. Methods: 126 hospitalized newborns diagnosed and treated in the hospital from January 2015 to January 2016 were selected as study subjects, the incidence of nosocomial infection and the location of infection were analyzed, and multivariate Logistic regression analysis was performed to evaluate the incidence of neonatal hospital Infection risk factors, and provide appropriate interventions. Results: ①The incidence of nosocomial infection among 126 hospitalized newborns in this group was 7.1% (9/126), of which skin infection was more common, followed by gastrointestinal infection. ②Multivariate logistic regression analysis showed that invasive operation , Hand hygiene standards and intensive care for neonatal concurrent nosocomial infections, the main factor. Conclusions: The most common cause of hospital-acquired nosocomial infections is neonatal hospital-related neonatal malnutrition due to non-compliance of hand hygiene, invasive procedures and intensive care.