母婴同室病房产妇医院感染的危险因素及应对措施  

Risk Factors and Response to Maternal Nosocomial Infection in Maternal-Infant Care Unit

作　　者：张春明[1] 杜青 龚江春 Zhang Chun-ming;Du Qing;Gong Jiang-chun(Hospital Infection Department,Zhijiang People's Hospital of Hubei Province,Zhijiang 443200,Hubei Province,China;Obstetrics and Gynecology Department,Zhijiang People's Hospital of Hubei Province,Zhijiang 443200,Hubei Province,China;Clinical Laboratory Department,Zhijiang People's Hospital of Hubei Province,Zhijiang 443200,Hubei Province,China)

机构地区：[1]湖北省枝江市人民医院院感科,湖北枝江443200 [2]湖北省枝江市人民医院妇产科,湖北枝江443200 [3]湖北省枝江市人民医院检验科,湖北枝江443200

出　　处：《中国社区医师》2022年第22期25-27,共3页Chinese Community Doctors

摘　　要：目的:分析母婴同室病房产妇医院感染的危险因素,并制定出预防感染的有效措施,降低母婴感染的发生。方法:选取2018年1月-2022年1月湖北省枝江市人民医院生产后母婴同室的1458例产妇为研究对象,统计在住院期间发生感染的产妇比例,并通过单因素分析了解产妇感染相关危险因素,通过非条件Logistic对危险因素进行分析,并根据危险因素提出相关的预防措施。结果:产妇年龄、基础行疾病、体重质数、会阴侧切、胎膜早破、住院天数、分娩方式及相关医护人员开展手卫生干预与产妇感染的发生有关,差异有统计学意义(P<0.05);同时根据多因素分析显示上述相关因素中除了住院天数外,其他因素也是产妇在医院感染的独立危险因素。结论:产妇医院感染的因素与多方面有关,不仅与产妇自身年龄及身体素质有关,同时也与生产及医院环境有关,医院应重视产妇感染问题并采取合理的干预措施。Objective:To analyze the risk factors of maternal nosocomial infections in maternal-infant care unit,formulate effective measures for the prevention of infections and reduce the maternal-infant infection.Methods:A total of 1458 parturients in the maternal-infant care unit of Zhijiang People's Hospital of Hubei Province from January 2018 to January 2022 were selected as the study subjects.The proportion of parturients who developed infection during hospitalization was counted,and maternal infection related risk factors were investigated by univariate analysis.The risk factors were analyzed by unconditional logistic analysis,and related preventive measures were proposed according to the risk factors.Results:The maternal age,underlying diseases,body mass index,perineal dissection,premature rupture of membranes,days of hospitalization,delivery method and hand hygiene interventions by related health care workers were associated with the occurrence of maternal infection,with statistically significant difference(P<0.05);At the same time,according to multivariate analysis,the above-mentioned related factors except days of hospitalization were also independent risk factors for maternal nosocomial infection.Conclusion:The factors of maternal nosocomial infection are multifaceted and related not only to the mother's age and physical fitness,but also to the delivery and hospital environment.Hospitals should pay attention to the problem of maternal infection and adopt reasonable interventions.

关 键 词：产妇 感染 母婴同室 危险因素 干预措施 

分 类 号：R197.323[医药卫生—卫生事业管理]