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目的了解南阳市第二人民医院NICU室医院感染现状,查找医院感染危险因素,采取有效预防控制措施,降低NICU室医院感染率。方法回顾性汇总分析2006年6—12月NICU室医院感染监测资料,查找医院感染危险因素,在采取综合预防控制措施的同时,对2007年6—12月NICU室医院感染进行前瞻性监测。结果2006年6—12月NICU室医院感染发病率为6.87%,例次感染率为8.65%;2007年6—12月NICU室医院感染发病率为3.96%,例次感染率为4.15%;早产儿、新生儿窒息、败血症是医院感染高危因素。部位感染从高到低依次为呼吸道、皮肤、口腔、消化道。结论加强NICU室的医院感染管理,重点加强高危患儿感染管理,采取综合预防控制措施和前瞻性监测可有效降低医院感染率。
Objective To understand the status of nosocomial infection in the NICU of Nanyang No.2 People’s Hospital and find out the risk factors of nosocomial infection and take effective prevention and control measures to reduce the hospital infection rate in NICU. Methods Retrospectively summarizes the surveillance data of NICU hospital infection from June to December in 2006, looks for the risk factors of nosocomial infection and carries out the prospective monitoring of nosocomial infection in NICU room from June to December in 2007 while taking the comprehensive prevention and control measures. Results The incidence of nosocomial infection in NICU room was 6.87% and the incidence rate of infection was 6.85% from June to December in 2006. The incidence of nosocomial infection in NICU room was 3.96% from June to December in 2007, and the infection rate was 4.15% Children, neonatal asphyxia, sepsis is a high risk factor for nosocomial infection. Parts of the infection from high to low were respiratory, skin, mouth, digestive tract. Conclusion The management of nosocomial infections in NICU should be strengthened and the management of infection in infants with high risk should be strengthened. Comprehensive prevention and control measures and prospective monitoring can effectively reduce the nosocomial infection rate.