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目的分析母婴同室的新生儿医院感染危险因素,探讨降低其医院感染发生率的对策。方法采用回顾性调查方法,对2007年1月-2011年12月牡丹江医学院第二附属医院母婴同室新生儿的临床资料进行统计,分析其医院感染的特点、危险因素。结果母婴同室新生儿医院感染发生率为1.24%,其中2007～2011年感染发生率依次为3.17%、1.76%、0.74%、0.46%、0.28%;感染部位以呼吸道居首,占49.25%,其次为胃肠道感染、皮肤及脐部感染;感染的病原菌以表皮葡萄球菌为主,占24.24%,其次为肺炎克雷伯菌、大肠埃希菌等,占18.18%、16.67%;危险因素与新生儿自身易感、母婴同室环境、医疗护理操作、产妇及新生儿用具、医务人员的手等有关。结论加强母婴同室新生儿医院感染管理和消毒隔离制度,是预防控制母婴同室新生儿医院感染的关键。
Objective To analyze the risk factors of neonatal nosocomial infection in maternal and neonatal cohorts and to explore ways to reduce the incidence of nosocomial infections. Methods A retrospective survey was conducted to analyze the clinical data of neonatal maternal and neonatal newborns in the Second Affiliated Hospital of Mudanjiang Medical College from January 2007 to December 2011 and to analyze the characteristics and risk factors of nosocomial infection. Results The incidence of nosocomial infection was 1.24% in newborn infants with maternal and infant room. The infection rates in 2007-2011 were 3.17%, 1.76%, 0.74%, 0.46% and 0.28%, respectively. The infection sites were respiratory tract, accounting for 49.25% Followed by gastrointestinal tract infections, skin and umbilical infections; Staphylococcus epidermidis infection accounted for 24.24%, followed by Klebsiella pneumoniae, Escherichia coli, accounting for 18.18%, 16.67%; risk factors It is related to newborns themselves, maternal and child room environment, medical and nursing operations, maternal and newborn appliances and medical staff’s hands. Conclusion Strengthening hospital management of infection and disinfection and isolation of newborn infants with maternal and infant room is the key to prevent and control nosocomial infection of newborn infants with maternal and infant room.