论文部分内容阅读
目的探讨住院患儿的医院感染监测结果及管理措施。方法收集2009年1月～2011年12月于某院儿科病房治疗的住院患儿669例的临床资料,均加强了对住院患儿医院感染预防管理;同时选择2009年之前于该院住院治疗的住院患儿625例,总结强化住院患儿医院感染预防管理的措施并分析其效果。结果对住院患儿开展强化管理后,2009年1月～2011年12月该院各主要科室住院患儿发生率降低至4.93%,显著低于开展强化医院感染管理前的8.32%(P﹤0.05);而2011年住院患儿医院感染的病原体如G-杆菌、G+球菌及其他致病菌的构成比例分别为45.5%、15.2%及39.4%,与2009年前比较差异无统计学意义(P﹥0.05)。结论运用各种手段对住院患儿开展综合性的预防医院感染的管理措施对于降低其医院感染率,改善预后具有重要意义。
Objective To investigate the surveillance results and management measures of nosocomial infection in hospitalized children. Methods The clinical data of 669 hospitalized children who were treated in pediatric ward of a hospital from January 2009 to December 2011 were collected, which all enhanced the prevention and management of nosocomial infection in hospitalized children. At the same time, we selected hospitalized patients before 2009 Inpatients 625 cases, summed up to strengthen hospitalized patients with nosocomial infection prevention and management measures and analyze the effect. Results After intensive management of hospitalized children, the incidence of in-hospital infants in all main departments of the hospital from January 2009 to December 2011 decreased to 4.93%, significantly lower than that before intensive hospital infection management (P <0.05 ). However, the proportions of hospital-acquired pathogens such as G-bacilli, G + cocci and other pathogenic bacteria in hospitalized children in 2011 were 45.5%, 15.2% and 39.4%, respectively, which were not significantly different from those before 2009 (P > 0.05). Conclusion It is of great significance to carry out a comprehensive management measures to prevent nosocomial infections in hospitalized children with various means to reduce the hospital infection rate and improve the prognosis.