小儿内科患儿医院感染危险因素分析研究  

Study on relative factors for hospital infection in pediatric department

作　　者：王莎莎[1] 陈会波[1] 尚积玉 杜明梅[2] 邢玉斌[2] 索继江[2] 贾宁[2] 高岩[2] 任世旺[2] 刘伯伟[2] 谢丽君[2] 刘运喜[2] 

机构地区：[1]潍坊医学院公共卫生学院流行病与卫生统计学专业,山东潍坊261053 [2]解放军总医院感染管理与疾病控制科,北京100853

出　　处：《中华医院感染学杂志》2014年第20期5131-5133,共3页Chinese Journal of Nosocomiology

基　　金：国家自然科学基金资助项目(30872155);国家科技重大专项基金资助项目(2013ZX 10004805-003);全军医学科技“十二五”科研基金资助项目(AWS11L009、11BJZ01)

摘　　要：目的研究小儿内科医院感染的相关危险因素,为控制医院感染提供依据。方法回顾性分析2010年1月-2014年6月小儿内科3 063例患儿临床资料,采用单因素、多因素logistic回归分析发生医院感染的危险因素,数据采用SPSS17.0软件进行处理。结果小儿内科3 063例患儿中发生医院感染1 021例,感染率33.33%;单因素分析结果显示,小儿内科患儿住院时间>14d、有中心静脉插管、留置胃管、白血病、肺炎、恶性肿瘤等的感染率,分别为57.37%、96.43%、76.12%、58.17%、49.34%、42.60%,其与医院感染的发生存在密切相关性,差异有统计学意义(P<0.05);多因素分析结果显示,住院天数、中心静脉插管、留置胃管、白血病、肺炎及恶性肿瘤是小儿内科患儿发生医院感染的独立危险因素。结论小儿内科患儿感染与住院时间、白血病及侵入性操作等相关,针对相关因素采取相应的防护措施,以降低感染率。OBJECTIVE To investigate risk factors related to hospital infection in the pediatric department of internal medicine ,so as to provide reference for control of hospital infection .METHODS Data of 3063 children in the pediatric department during Jan .2010 to Jun .2014 were retrospective analyzed .The univariate and multivari-ate logistic regression were used to statistically analyze the risk factors for hospital infection with the software SPSS17 .0 .RESULTS Totally 1 021 cases of hospital infection occurred in the 3063 children ,the infection rate was 33 .33% .The univariate analysis showed that the infection rate related to length of stay 〉14 d ,central venous catheterization ,nasogastric gavage , leukemia , pneumonia , and malignant tumor was 57 .37% , 96 .43% , 76 .12% ,58 .17% ,49 .34% ,42 .60% respectively . These factors were closely related to the occurrence of hospital infection with statistical significance （P〈 0 .05） .The multivariate analysis showed that length of stay , central venous catheterization ,nasogastric gavage ,leukemia ,pneumonia ,and malignant tumor were independent risk factors of for hospital infection in the pediatric department . CONCLUSION Infection in the pediatric department of internal medicine were closely associated with length of stay ,leukemia ,invasive procedure etc .It is conducive to implement effective protection measures targeted to the risk factors to reduce the incidence of hospital infection .

关 键 词：小儿内科 患儿 医院感染 

分 类 号：R181.32[医药卫生—流行病学]