摘要
目的：探讨新生儿重症监护病房（NICU）院内感染的高危因素,总结防治策略供临床参考。方法：采用回顾性研究方法,通过医院信息系统（HIS）收集2012年6月至2016年6月我院NICU发生院内感染的319例新生儿的临床资料。结果：我院NICU院内感发生率为7.00%（319/4 557）。319例发生院内感染的新生儿中,早产儿225例（70.53%）,胎龄（32.54±2.31）周,出生体质量（1 825.81±635.32）g,发生院内感染的时间为入住NICU后3-36（12.56±9.00）d,病死率5.33%（17/319）。NICU院内感染与多种因素有关,其中,侵入性操作（气管插管、PICC等）、极低出生体质量、基础疾病、医源性传播是高危因素。结论：加强NICU规范管理、提高医护人员的院内感染防控意识、严格无菌操作等,能减少NICU院内感染的发生。
Objective： To investigate the high risk factors and prevention strategies of nosocomial infection in neonatal intensive care unit（NICU）.Methods： Totally 319 infants with nosocomial infection in NICU of our hospital from June 2012 to June 2016 were retrospectively analyzed.Results： The incidence of nosocomial infection was 7.00 percent（319 / 4,557）,225 premature infants（70.53%）,the average of gestational age was（32.54±2.31） weeks,the average of birth weight was（1,825.81±635.32） g,the average time of nosocomial infection was（12.56±9.00） d after admission to hospital,the mortality of nosocomial infection was 5.33%（17/319）.Nosocomial infection in NICU was related with multiple factors,such as invasive operation（tracheal intubation,peripherally inserted central catheterization,and so on）,very low birth weight infant,basic diseases and iatrogenic transmission in NICU.Conclusion： Strengthening the department management,enhancing awareness of the prevention and control of nosocomial infection of medical staff,perform aseptic operation strictly,can reduce the occurrence of nosocomial infection in NICU.
出处
《儿科药学杂志》
CAS
2016年第12期1-3,共3页
Journal of Pediatric Pharmacy
作者简介
袁继红（1968～），女，大学本科，副主任技师，主要从事新生儿疾病临床工作，E-mail：591031785@qq．com。
