二级医院儿科病房院内感染临床特征  

Clinical Characteristics of Nosocomial Infection in Pediatric Ward of Secondary Hospital

作　　者：周永红 

机构地区：[1]北京市延庆区医院(北京大学第三医院延庆医院),北京102100

出　　处：《中国医学创新》2018年第24期120-123,共4页Medical Innovation of China

摘　　要：目的:分析某二级综合医院儿科病房出院患儿院内感染临床特点,探讨降低院内感染发生的对策。方法:回顾性分析2011年1月-2015年12月北京某二级综合医院儿科住院患儿1 892例的临床资料。结果:出院患儿1 892例中,发生医院感染48例,感染率为2.54%,其中2012年感染率最高为3.37%,并呈下降趋势,2015年感染率最低为2.00%;感染部位中以上、下呼吸道及口腔黏膜感染为主,共占79.17%(38/48);随着抗生素使用种类数量增多,院内感染发生率增加,其中未使用抗生素院内感染发生率0.66%,3种及以上联用达7.14%;院内感染者住院天数、住院费、并发症发生率均高于无院内感染者,比较差异均有统计学意义(P<0.05)。结论:预防与控制儿科院内感染,加强对感染患儿的有效预防及控制,合理应用抗生素,可有效地减少院内感染发生。To analyze the clinical characteristics of nosocomial infection in pediatric respiratory ward discharged from Pediatric ward of secondary hospital,and to explore the countermeasures to reduce the incidence of nosocomial infection.Method:The clinical data of1892hospitalized children in respiratory department of a tertiary specialized hospital in Beijing from January2011to December2015were retrospectively analyzed.Result:Among1892discharged children,48cases of nosocomial infection occurred,the infectionrate was2.54%,of which the highest infection rate in2012was3.37%,and a downward trend,and the lowest infection rate in2015was2.00%.The infection sites were mainly upper respiratory tract,lower respiratory tract and oral mucosa,accounting for79.17%(38/48).With the increase of the number of antibiotics,the incidence of nosocomial infection increased,and no antibiotics were used in hospital was0.66%,Three or more combinations antibiotics were used up to7.14%.The hospitalization days,hospitalization expenses and incidence of complications of nosocomial infection patients were higher than those of without nosocomial infection,the differences were statistically significant(P<0.05).Conclusion:Prevention and control of nosocomial infection,effective prevention and control of infected children,and rational application of antibiotics can effectively reduce the incidence of nosocomial infections

关 键 词：儿科 院内感染因素 对策 

分 类 号：R197.323[医药卫生—卫生事业管理]