新生儿病房院内感染的危险因素分析及防范措施  

Analysis of hospital infection risk factors and preventive measures in neonatal wards

作　　者：陈小蓓[1] 张蓉[1] 

机构地区：[1]武汉市妇女儿童医疗保健中心新生儿内科,湖北武汉430016

出　　处：《中国伤残医学》2014年第2期26-28,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析新生儿病房院内感染的危险因素,提出防范措施。方法:对住院458例危重新生儿中的院内感染的临床病例资料,采用回顾性分析,采取相应的防范措施。结果:通过增强医护人员的院内感染知识,制订和完善新生儿院内感染管理制度,严格执行消毒隔离制度,严格掌握侵入性操作的适应证,合理使用抗生素,并增强新生儿的管理,如改进探视制度,尽早建立肠内营养加强新生儿的基础护理等。结论:加强督促落实,采取有效措施、严格控制、定期督查监测,及时发现、解决整改,有效地防范新生儿院内感染的发生,就可有效控制院内感染的发生率。Objective：To analyze infection risk factors in neonatal ward of hospital and put forward to preventive measures ,Methods：458 inpatients cases of clinical data of hospital infection in critically ill newborns , using retrospective analysis , formulate the corresponding preventive measures , in order to reduce the occurrence of hospital infection .Results：27 cases hospital infection occurred in 458 cases of severe ill neonatal ;5.90%incidence of hospital infection , the gram-negative bacillus （71.67%）, klebsiella pneumoniae in the most rare;Risk factors were：small gestational age, low birth weight, and Apgar score in 0 ~7 points, long hospitalization time, catheter time, repeatedly in invasive operation and the unreasonable use of antimicrobial drugs .Conclusion：Small gestational age , low birth weight, and Apgar score in 0 ~7 points, long hospitalization time, catheter time, repeatedly in invasive operation and unreasonable use of antimicrobial drugs might be neonatal ward risk factors of hospital infection , and take the implementation of disinfection and isolation system strictly , strict hand in its , strict aseptic operation , careful invasive operation , standard use of antibiotics and other measures , can reduce the occurrence of hospital infection .

关 键 词：新生儿病房 院内感染 危险因素 防范措施 

分 类 号：R722[医药卫生—儿科]