医院儿科医院感染原因分析及防范策略  

Pediatric Nosocomial Infection:Reasons Analysis and Prevention Strategies

作　　者：袁纯[1] 严海斌 管建粉[1] 史硕芬 章高彪 

机构地区：[1]九江市妇幼保健院感染管理科,江西九江332000

出　　处：《中华医院感染学杂志》2009年第18期2429-2430,共2页Chinese Journal of Nosocomiology

摘　　要：目的研究分析医院儿科医院感染原因及可能危险因素,为医院感染控制提供有效的防范策略。方法采用前瞻性方法,对2007年儿科18002例住院患者进行调查,数据分析运用SPSS11.5软件,主要分析医院感染发生率,及其在不同季度或不同人群间的对比分析。结果儿科住院患者中发生医院感染率为2.44%,年龄1月龄～1岁和住院>10d的感染率最高分别为3.67%和7.85%,总体上三、四季度的医院感染发生率较高,且冬春季节呼吸道感染较多,夏秋胃肠道感染较多。结论儿科患者越小、住院时间越长,发生医院感染的可能性越大,医院感染工作应关注新生儿和年龄较小婴幼儿防护,并且按季节差异调整防控侧重点。OBJECTIVE To investigate the reasons of pediatric nosocomial infection, analyze the possible risk factors, and provide the effective control and prevention strategies. METHODS A total of 18002 patients were investigated in 2007 by prospective study. The data were analyzed via SPSS 11.5 statistical analysis software using mainly descriptive and contrast analysis. RESULTS The nosocomial infection rate was 2.44%. The children were relatively highly infected on both of age from 1-month-old to 1-year-old （3.67%） and stay in hospital over 10 days （7.85%） , the season in third and fourth quarters （3. 13% and 2. 64%）. The nosocomial infection occurred mainly in respiratory tract and gastrointestinal tract, and more respiratory infections occurred in winter and spring, but more gastrointestinal tract infections occurred in summer and autumn. CONCLUSIONS Pediatric patients are more easy infected of the baby age or the longer stay in the hospital. Pediatric nosocomial infection more occurrs in the summer and autumn. Hospitals should focus on preventing and controlling the respiratory and gastrointestinal infections.

关 键 词：医院感染 分析 策略 

分 类 号：R181.32[医药卫生—流行病学]