摘要
目的分析儿科住院患儿发生医院感染的危险因素,探讨降低儿科住院患儿医院感染率的预防控制方法,提高儿科住院患儿治疗质量。方法选取2013年01月-2016年10月医院儿科住院患儿2763例,统计医院感染患儿的临床资料、入院情况以及治疗情况,采用单因素分析及多因素logistic分析儿科住院患儿发生医院感染的危险因素,探讨预防控制儿科住院患儿医院感染的对策及措施。结果 2763例患儿中发生医院感染105例,感染率为3.80%;年龄<3岁、营养状况较差、入院时存在感染、住院时间>5d、抗菌药物种类≥3种、抗菌药物使用时间>3d、治疗过程中使用激素、有侵袭性操作为儿科住院患儿发生医院感染的相关因素;经Logistic多因素分析,患儿<3岁(OR=1.485)、营养状况差(OR=1.285)、入院时感染(OR=4.584)、住院时间>5d(OR=2.287)、抗菌药物使用种类≥3种(OR=3.820)、抗菌药物使用>3d(OR=1.752)、使用激素(OR=1.842)以及有侵袭性操作(OR=1.726)为儿科住院患儿医院感染的独立危险因素。结论儿科住院患儿发生医院感染的危险因素较多,医护人员可从多方面予以预防和避免。
OBJECTIVE To analyze the risk factors for nosocomial infections in hospitalized children of pediatrics department and explore the prevention and control measures to reduce the incidence of nosocomial infections in the hospitalized children so as to improve the quality of treatment of the hospitalized children of pediatrics department.METHODS A total of 2763 children who were hospitalized for treatment in the pediatrics department from Jan 2013 to Oct 2016 were enrolled in the study.The clinical data and admission and treatment status were statistically analyzed,the univariate analysis and multivariate logistic analysis were performed to analyze the risk factors for nosocomial infections in the hospitalized children of pediatrics department,and the countermeasures for prevention and control of nosocomial infections in the hospitalized children of pediatrics department were explored.RESULTS Of the 2763 children,105had nosocomial infection,with the infection rate 3.80%.The related factors for the nosocomial infection in the hospitalized children of pediatrics included less than 3years of age,poor nutritional status,infections at admission,hospitalization duration more than 5days,use of no less than 3types of antibiotics,time of use of antibiotics more than 3days,use of hormones during treatment,and invasive operation.The multivariate Logistic analysis showed that the independent risk factors for the nosocomial infection in the hospitalized children of pediatrics department included the less than 3years old（OR=1.485）,poor nutritional status（OR=1.285）,infection at admission（OR=4.584）,hospitalization duration more than 5days（OR=2.287）,use of no less than 3types of antibiotics（OR=3.820）,time of use of antibiotics more than 3days（OR=1.752）,use of hormones during treatment（OR=1.842）,and invasive operation（OR=1.726）.CONCLUSIONThere are a variety of risk factors for the nosocomial infections in the hospitalized children of pediatrics department,and it is necessary for health care workers to take the prevention measures from multiple aspects.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2017年第6期1402-1404,1423,共4页
Chinese Journal of Nosocomiology
关键词
儿科
医院感染
危险因素
Pediatrics department
Nosocomial infection
Risk factor
