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目的分析儿科急诊观察室医院感染危险因素,提出防控对策。方法采用回顾性调查方法,对2012-2013年儿科急诊观察室5 397例留观患儿的临床资料进行分析。结果 2012年2 790例留观患儿中感染发生率为7.78%,2013年2 607例留观患儿中感染发生率为5.83%,对比两年间医院感染发病率有显著统计学意义;导致急诊观察室患儿医院感染的主要危险因素包括年龄、患儿自身易感染、观察室环境和医务人员手卫生等。结论应加强儿科急诊观察室规范化管理。
Objective To analyze the risk factors of nosocomial infection in pediatric emergency room and put forward the prevention and control measures. Methods A retrospective survey was conducted to analyze the clinical data of 5 397 cases of children with visual observation in the pediatric emergency room during 2012-2013. Results The prevalence of infection in 2,790 cases was 7.778% in 2012, and was 5.83% in 2 607 cases in 2013. The incidence of nosocomial infections in two years was significantly higher than that in the other two cases The main risk factors for hospital-acquired nosocomial infections in children in the observation room included age, the child’s own susceptibility to infection, the observation room environment, and the hand hygiene of medical personnel. Conclusion The standardized management of pediatric emergency room should be strengthened.