儿童专科医院医院感染特点及预防控制  

Hospital Infection in Children Hospital: Its Distribution Characteristics,Prevention and Control

作　　者：孙立新[1] 刘翠青[1] 刘素哲[1] 

机构地区：[1]河北省儿童医院,河北石家庄050031

出　　处：《中华医院感染学杂志》2006年第5期521-523,共3页Chinese Journal of Nosocomiology

基　　金：河北省科技攻关计划项目(052761114)

摘　　要：目的探讨儿童专科医院医院感染分布部位、科室、病原菌类型及耐药性。方法采用目标性调查和医生报告相结合方法。结果我院医院感染分布部位上呼吸道占42.4%为首位;分布科室内科以神经内科和血液肾病科为主,外科以消化外科和心脏外科为主;病原菌革兰阴性杆菌以铜绿假单胞菌为主,对头孢他啶敏感;其次革兰阳性菌以金黄色葡萄球菌、肠球菌属为主,对万古霉素、呋喃妥因敏感。结论与住院时间长、抗菌药物和激素滥用、侵袭性操作等感染危险因素和科室收治病种有关,针对此情况采取相应措施预防控制医院感染。OBJECTIVE To explore the distribution, bacterial types and antibiotic-resistance in a children hospital. METHODS The methods of combining objective investigation with the doctor＇s report were adopted. RESULTS In our hospital, the rate of upper airway infections was in the first accounted for 42.4%, mainly ocourred in internal neurology, hematology and nephrology departments and gastrointestinal and cardiosurgery departments. Among Gram-negative robs, Pseudomonas aeruginosa was the principle of the upper airway infections, it was sensitive to ceftazidime. Among Gram-positive cocci, the Staphylococcus aureus and Enteroccoccus were the main pathogens concerned, which were sensitive to vancomycin and nitrofurantoin. CONCLUSIONS Long-hospitalization, unreasonable use of hormone and antibiotic, invasive operation and various diseases in the same department are the main risk factors, for the correspondent measures must apply to prevent and control the hospital infection.

关 键 词：儿童医院 医院感染 监测 分布特点 

分 类 号：R181.32[医药卫生—流行病学]