新生儿科医院感染败血症流行病学调查  

An epidemiological investigation on nosocsmial infection with septicemia in newborn department

作　　者：黄淑环[1] 张伟嫦[1] 梁建红[1] 

机构地区：[1]肇庆市第一人民医院,526021

出　　处：《国际医药卫生导报》2010年第15期1798-1801,共4页International Medicine and Health Guidance News

基　　金：2009年肇庆市科技创新计划项目（2009E241）

摘　　要：目的 了解新生儿科医院感染败血症集聚的原因和危险因素,观察其预防控制效果,为控制此类医院感染提供依据.方法 对某院2009年8月新生儿科出现感染性医院感染败血症进行流行病学调查.结果 3例患儿血培养分离出光滑念珠菌,药物敏感试验显示相同结果;但病房环境标本无分离出相同细菌;经采取有效控制措施,3例患儿均治愈出院.结论 所有新生儿特别是早产儿、低体重儿均为易感儿,且存在病情危重、住院时间长、长期使用广谱抗菌药物均是引起医院感染的主要原因.通过采取严格消毒隔离、医务人员加强手的消毒、合理使用抗菌素等积极有效的综合管理措施,能及时控制感染的蔓延.Objective To investigate the causes and risk factors of nosocsmial infection with septicemia in neonate department, and to find the proper program to control it. Methods An epidemiological investigation on the development of septicemia at the end of August 2009 in neonate department were conducted.Results Candida glabrata was seperated from the blood samples in 3 three children and had the same drug sensitivity. But the ward nvironment did not have the same bacteria. Three children were cured after treatment.Conclusions The main risk factors for hospital-acquired infection are premature birth, low birthe weight, serious underlyling disease, long-term hospitalization, and prolonged use of broad-spectrum antibiotics. The infection spreading can be. Controlled promptly by taking strict measures of disinfection and isolation, enhancing hand-washing compliance in medical staff, and the proper use of antibiotics.

关 键 词：新生儿科 医院感染 败血症 流行病学调查 

分 类 号：R722[医药卫生—儿科]