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目的分析住院患儿合并医院感染危险因素及预防对策。方法 40例合并医院感染的患儿作为观察组,选取40例无医院感染的患儿作为对照组,比较两组患儿性别、年龄、侵袭性操作(胃管留置、气管切开、导尿等)、预防应用抗生素、住院时间等因素上的差异。结果医院感染40例包括胃肠道感染14例(35.00%),上呼吸道感染10例(25.00%);下呼吸道感染8例(20.00%);皮肤组织附属器官感染的患儿4例(10.00%),其他4例(10.00%)。观察组患儿平均年龄(4.47±2.27)岁小于对照组的(7.56±4.36)岁,实施侵袭性操作35.00%、预防应用抗生素25.00%、住院时间(12.35±2.87)d高于对照组的10.00%、5.00%、(9.15±3.03)d,差异有统计学意义(P<0.05)。两组男/女病例(21/19)VS(22/18),比较差异无统计学意义(P>0.05)。结论儿科病房是医院感染发生率较高的科室之一,与患儿年龄小、实施侵袭性操作、预防应用抗生素、住院时间长有关,应实施相应预防对策降低医院感染的发生。
Objective To analyze the risk factors of hospital infection in hospitalized children and its preventive measures. Methods Forty patients with nosocomial infection were selected as the observation group. Forty infants without nosocomial infection were selected as the control group. The gender, age, invasive procedure (gastric tube indwelling, tracheotomy, catheterization, etc.) ), Prevention and treatment of antibiotics, hospitalization time and other factors. Results 40 cases of nosocomial infection included gastrointestinal tract infection in 14 cases (35.00%), upper respiratory tract infection in 10 cases (25.00%), lower respiratory tract infection in 8 cases (20.00%), skin tissue attachment organ infection in 4 cases ), The other 4 cases (10.00%). The average age of the observation group was (4.47 ± 2.27) years younger than the control group (7.56 ± 4.36) years, the invasive operation was 35.00%, the prophylactic antibiotics was 25.00%, the length of hospital stay was (12.35 ± 2.87) d higher than that of the control group %, 5.00%, (9.15 ± 3.03) d respectively, the difference was statistically significant (P <0.05). The two groups of male / female cases (21/19) VS (22/18), the difference was not statistically significant (P> 0.05). Conclusion The pediatric ward is one of the departments with high incidence of nosocomial infection. It is related to the small age of children, aggressive operation, prevention and application of antibiotics and long hospital stay, and corresponding preventive measures should be implemented to reduce the occurrence of nosocomial infections.