论文部分内容阅读
目的:对新生儿院内感染轮状病毒肠炎进行回顾性分析。方法:采用现场流行病学调查的方法,用胶体金法监测待测样本中的A组轮状病毒,并观察轮状病毒肠炎的症状及肠道外并发症。结果:20例患儿中入住三人间病房16例,两人间4例,无住单间病房者;患儿家长中农村及外来务工者15例,陪护家属均为老年妇女。调查结果显示这起新生儿院内感染是由于陪护人员卫生意识较差,随意丢弃腹泻患儿的尿片,造成轮状病毒经粪-口途径传播。结论:A组轮状病毒感染引起的院内感染,以粪-口途径传播为主,患儿家长不良卫生习惯、临床护士对该病的重视不够、病房人员拥挤、消毒隔离措施不完善是造成传播的主要因素,应注意对新生儿轮状病毒肠道外并发症的监控,并加强对住院腹泻患儿轮状病毒的监测,强化病房消毒隔离措施,在陪护人群中开展与腹泻病有关的健康教育是控制轮状病毒肠炎院内感染的重点。
Objective: To retrospectively analyze the infantile nosocomial rotavirus enteritis. Methods: The method of field epidemiological investigation was used to monitor the group A rotavirus in the samples tested by colloidal gold method and the symptoms of rotavirus enteritis and extraintestinal complications were observed. Results: Among the 20 children, 16 cases were admitted to three-room ward, 4 cases were two-room patients, and no single-room ward was employed. There were 15 middle-aged and migrant children with parents in their children and all the accompanying family members were elderly women. The survey showed that the neonatal nosocomial infection was due to poor hygiene awareness among carers and the random dropping of diapers from children with diarrhea, resulting in the transmission of rotavirus via the fecal-oral route. CONCLUSIONS: A group of nosocomial infections caused by rotavirus infection is dominated by fecal-oral route. Poor hygiene habits of parents, insufficient attention of clinical nurses to the disease, crowded ward staff, imperfect disinfection and isolation measures are the causes of transmission Of the main factors should pay attention to the monitoring of neonatal rotavirus parenteral complications and to strengthen the monitoring of rotavirus in children with in-hospital diarrhea and strengthen ward disinfection and isolation measures, carry out health education related to diarrhea in the accompanying population Is to control rotavirus enteritis nosocomial infection.