论文部分内容阅读
目的分析儿科重症监护室(PICU)医院感染的相关危险因素,了解儿童医院感染特点,为控制医院感染提供科学的依据。方法采用目标性监测方法,对2013年1-12月儿童医院PICU患儿医院感染发病情况进行分析。结果 PICU共收治807例患儿,发生医院感染病例38例、39例次,医院感染发病率4.71%、例次感染率为4.84%。感染部位以下呼吸道感染为主,占53.8%;呼吸机相关肺炎发病率为7.8‰,导尿管相关尿路感染发病率为0.2‰。分离出39株病原菌,革兰阴性菌为主,占87.18%,其中鲍曼不动杆菌占53.85%,铜绿假单胞菌占23.08%。结论 PICU医院感染率较高,感染病原菌以革兰阴性菌为主,加强PICU患者管理和监控,制定有效措施,最大限度的减少医院感染的发生。
Objective To analyze the risk factors related to nosocomial infection in pediatric intensive care unit (PICU), understand the characteristics of nosocomial infection in children and provide a scientific basis for controlling nosocomial infection. Methods The targeted surveillance method was used to analyze the incidence of nosocomial infections in children with PICU from January to December in 2013. Results A total of 807 children were enrolled in the PICU. 38 cases of nosocomial infections occurred in 39 cases, the incidence of nosocomial infection was 4.71% and the incidence of nosocomial infection was 4.84%. Respiratory infections were the most common, accounting for 53.8%. The incidence of ventilator-associated pneumonia was 7.8%, and the incidence of urinary tract-associated urinary tract infection was 0.2%. 39 strains were isolated, Gram-negative bacteria, accounting for 87.18%, Acinetobacter Baumann accounted for 53.85%, Pseudomonas aeruginosa accounted for 23.08%. Conclusion PICU hospital infection rate is high, the main pathogens of infection are Gram-negative bacteria, strengthen the management and monitoring of PICU patients and formulate effective measures to minimize the occurrence of nosocomial infections.