儿科住院病人医院感染危险因素的病例对照调查  

Risk factors of nosocomial infection in the department of pediatrics:a case-control study

作　　者：王华峰[1] 都鹏飞[2] 

机构地区：[1]安徽医科大学铜陵工人总医院,铜陵市244000 [2]安徽医科大学第一附属医院

出　　处：《热带病与寄生虫学》2008年第3期136-137,173,共3页Journal of Tropical Diseases and Parasitology

摘　　要：目的探讨儿科病房医院感染发生率及其危险因素。方法选择某医院2003～2005年1352例患儿为研究对象,以其中医院感染者为病例组,非医院感染者为对照组进行病例对照研究。病例组和对照组按1︰1配比设立对照,以条件logistic法筛选出儿科病房医院感染的危险因素。结果儿科病房医院感染率为7.7%。单因素和多因素分析发现,住院时间、不合理使用抗生素、侵袭性操作、重症监护等是医院感染的危险因素。结论合理使用抗生素、缩短住院时间、减少侵袭性操作将有利于预防和控制儿科医院感染。Objective To explore the risk factors of nosocomial infection in the department of pediattics. Methods 1352 sick children from 2003 to 2005 in a hospital were selected as study objectives. Casecontrol study was carried out, with the nosocomial infection patients as case group and the other patients as control group. A 1：1 matched case-control study was used and the conditional logistic regression model was performed in this study. The nosocomial infection rate was prospectively observed after the interventions were adopted to the risk factors. Results 105 cases of hospital infection were identified among 1 352 cases with an incidence of 7.7 %. The univatiate analysis and multiple conditional logistic regression showed that the hospital duration, unreasonable using antibiotics, invasive operation and intensive care were the risk factors of nosocomial infection. Conclusion It would be help to prevent and control nosocomial infection in the department of pediatrics by using antibiotics reasonably, shorten hospital duration and reduce invasive operation.

关 键 词：医院获得性感染 危险因素 病例对照研究 

分 类 号：R181.34[医药卫生—流行病学] R197.4[医药卫生—公共卫生与预防医学]