原发性肾病综合征患儿医院感染控制方案与可行性分析  

Scheme of control of nosocomial infections in children with primary nephrotic syndrome and its feasibility

作　　者：王焕[1] 付艳[2] 范迅捷 冯衍生[4] 徐世新[1] 

机构地区：[1]新乡市中心医院肾内科,河南新乡453000 [2]新乡市中心医院儿科,河南新乡453000 [3]新乡市中心医院感染科,河南新乡453000 [4]新乡医学院病理生理教研室,河南新乡453000

出　　处：《中华医院感染学杂志》2016年第2期444-445,461,共3页Chinese Journal of Nosocomiology

基　　金：国家自然科学基金青年基金资助项目(81300113)

摘　　要：目的探讨分析原发性肾病综合征患儿医院感染控制方案及可行性,为患儿医院感染控制提供参考。方法选取2014年1月-2015年7月实施医院感染控制方案后住院治疗的243例原发性肾病综合征患儿作为研究对象,设为研究组,另选取2010年1月-2013年12月实施医院感染控制方案前住院治疗的243例原发性肾病综合征患儿为对照组;比较两组患儿医院感染率、感染部位分布及医院感染评分。结果原发性肾病综合征患儿医院感染率研究组为19.75、对照组为30.45%,两组比较差异有统计学意义(P<0.05);两组患儿感染部位均以呼吸道感染为主,其次为泌尿系感染;研究组呼吸道感染、泌尿系感染症状评分为(4.69±0.52)(4.82±0.33)分,高于对照组的(4.13±0.65)(4.29±0.60)分,差异有统计学意义(P<0.05)。结论对原发性肾病综合征患儿实施医院感染控制方案,有助于降低医院感染率。OBJECTIVE To explore the scheme of control of nosocomial infections in children with primary nephritic syndrome and analyze its feasibility so as to provide guidance for control of the nosocomial infections.METHODS A total of 243 children with primary nephrotic syndrome who were hospitalized after the scheme of control of nosocomial infections was carried out from Jan 2014 to Jul 2015 were recruited as the study objects and set as the study group;totally 243 children with primary nephrotic syndrome who were hospitalized before the scheme of control of nosocomial infections was implemented from Jan 2010 to Dec 2013 were chosen as the control group.The incidence of nosocomial infections,distribution of infection sites,and score of nosocomial infections were observed and compared between the two groups of children.RESULTS The incidence of nosocomial infections in the children with primary nephrotic syndrome was 19.75 in the study group,30.45%in the control group,and there was significant difference between the two groups（P〈0.05）.The respiratory tract was the predominant infection site of the two groups of children,followed by the urinary tract.The score of respiratory tract infection symptom of the study group was（4.69±0.52）points,higher than（4.13±0.65）points of the control group;the score of urinary tract infection symptom of the study group was（4.82±0.33）points,higher than（4.29±0.60）points of the control group,and there was significant difference（P〈0.05）.CONCLUSION The implementation of the scheme of control of nosocomial infections may facilitate the reduction of incidence of nosocomial infections in the children with primary nephrotic syndrome.

关 键 词：原发性肾病综合征 患儿 医院感染 控制方案 

分 类 号：R181.32[医药卫生—流行病学]