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目的:探讨和研究新生儿医院感染的危险因素,并提出干预对策。方法:采用回顾性调查形式对2011年1月~2014年12月之间象山县第一人民医院住院的452例住院新生儿资料进行调查,对医院感染发生率、医院感染与基础疾病的相关性以及影响新生儿医院感染的因素进行分析。结果:调查对象中共37例新生儿发生医院感染,发生率为8.3%;所有医院感染患儿中共66例合并有基础疾病,其中新生儿肺炎、缺氧缺血性脑病、新生儿窒息患儿的感染发生率较高;从单因素分析结果来看,影响新生儿医院感染发生率的因素主要包括早产、住院时间>7天、侵入性操作、合并新生儿肺炎、合并缺氧缺血性脑病五个因素。结论:要重视新生儿医院感染的危害性,了解导致新生儿发生医院感染的危险因素,积极的采取预防措施,减少新生儿医院感染的发生率。
Objective: To explore and study the risk factors of neonatal nosocomial infection and to propose intervention strategies. Methods: The data of 452 hospitalized neonates hospitalized in First People ’s Hospital of Xiangshan from January 2011 to December 2014 were investigated retrospectively. The correlations between nosocomial infection rate, nosocomial infection and underlying diseases were investigated As well as the factors affecting neonatal nosocomial infection. Results: The incidence of nosocomial infection in 37 newborns in China was 8.3%; 66 infants with nosocomial infections had underlying diseases with neonatal pneumonia, hypoxic-ischemic encephalopathy and neonatal asphyxia According to the results of univariate analysis, the factors influencing the incidence of neonatal nosocomial infections mainly include premature delivery, hospitalization> 7 days, invasive procedures, combined with neonatal pneumonia, combined with five hypoxic-ischemic encephalopathy A factor. Conclusion: It is necessary to pay attention to the dangers of neonatal nosocomial infection, understand the risk factors of neonatal nosocomial infection, and take active preventive measures to reduce the incidence of neonatal nosocomial infections.