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目的 :探讨分析新生儿重症监护病房早产儿在医院感染中面临的危险因素。方法 :选取630例早产儿并收集相关临床资料,观察并分析出现感染的机率。结果 :经调查研究发现,所选取的630例早产儿中有134例出现不同程度的感染,感染率为21.3%。发生机率最高的感染类型为肺炎性感染,平均1000个机械戏通气日中出现肺炎性感染78.4例;其次每千日发生住院日相关感染18.0例;平均1000个导管日发生败血症2.5例。相对于未感染组,感染组使用抗生素的级别比较高,容易出现肺部感染。结论 :新生儿重症监护病房早产儿医院感染主要是由机械通气时间长以及胃肠外营养等因素造成的,多发于32周以内的早产儿患者,医护人员需要加强感染预防方面的工作,降低发生感染的概率,提高治疗管理水平。
Objective: To investigate the risk factors of nosocomial infection in preterm infants in neonatal intensive care unit. Methods: 630 preterm infants were selected and related clinical data were collected. The incidence of infection was observed and analyzed. Results: According to the investigation and study, 134 cases of premature infants were selected to have different degrees of infection, the infection rate was 21.3%. The most probable type of infection was pneumonia, with an average of 78.4 cases of pneumonia infection during an average of 1000 mechanical ventilation days, followed by 18.0 cases of hospital-associated infection per 1,000 days, and an average of 1000 catheter-induced sepsis cases in 2.5 cases. Relative to the uninfected group, the infection group used a higher level of antibiotics, prone to pulmonary infection. CONCLUSIONS: Premature infants with neonatal intensive care unit nosocomial infections are mainly caused by long duration of mechanical ventilation and parenteral nutrition. Patients with preterm infants with multiple attacks within 32 weeks need to strengthen their work on infection prevention and reduce their occurrence The probability of infection, improve the level of treatment management.