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目的分析孝感市中心医院儿科门诊患儿医院感染现状,探究其预防及解决方法。方法收集本院2014年儿科门诊收治的200例患儿,将开展医院感染强化预防管理作为观察组,将未实施感染预防前2013年180例患儿的作为对照组,分析医院感染情况,研究预防管理实施后的感染控制效果。结果未实施医院感染强化预防管理前,2013年收集的180例儿科患儿中,发生医院感染16例,占8.89%;开展儿科感染强化预防管理后,2014年度收集的200例儿科患儿中,仅10例发生医院感染,占5.00%。实施感染强化预防管理后,儿科门诊医院感染发生率明显低于未实施强化预防管理前,差异有统计学意义(5.00%vs 8.89%,P<0.05)。实施医院感染预防强化管理前后,本院儿科门诊感染病原菌构成比对比差异无统计学意义(P>0.05)。结论为降低门诊儿科医院感染发生率,必须严格限制门诊出入人数,限制探访时间,并指导患儿家属进行严格的陪护知识训练,强化对儿科门诊感染高危因素的监测,贯彻隔离制度,以优化患儿的生活质量。
Objective To analyze the status of nosocomial infection in pediatric outpatients in Xiaogan Central Hospital and explore its prevention and solutions. Methods A total of 200 children admitted to our pediatric clinic in 2014 were enrolled in this study. Intensive prevention and control of nosocomial infection was selected as the observation group. 180 children without pre-infection prevention as control group were enrolled in this study. The hospital infection was analyzed and the prevention Infection control effect after management implementation. Results Before implementing hospital infection prevention and control enhancement, among the 180 cases of pediatric patients collected in 2013, 16 cases of nosocomial infection occurred, accounting for 8.89%. After pediatric infection prevention and control enhancement, among 200 pediatric patients collected in 2014, Only 10 cases of nosocomial infections, accounting for 5.00%. The incidence of nosocomial hospital infection was significantly lower than that before intensive prevention and control (5.00% vs 8.89%, P <0.05). Before and after the implementation of hospital infection prevention and strengthening management, there was no significant difference in the constituent ratio of pathogenic bacteria in pediatric outpatients (P> 0.05). Conclusion In order to reduce the incidence of outpatient pediatric hospital infection, we must strictly limit the number of outpatients, restrict the visiting time, and guide the families of children with strict training of accompany knowledge, strengthen the monitoring of risk factors of pediatric outpatient infection, and implement the isolation system to optimize the risk Children’s quality of life.