我院新生儿重症监护室医院感染目标监测结果的分析

摘要

目的：了解新生儿重症监护室医院感染发生情况，并提出相应的感染管理措施。方法采取目标监测方法，对我院新生儿重症监护室使用呼吸机和置入中心静脉导管、导尿管的患儿医院感染发生情况进行监测。结果共监测患儿2836例，发生医院感染28例，感染率0．99％；感染31例次，例次感染率1．09％。医院感染主要以血流感染为主，占35．48％；病原菌70．00％为革兰阴性菌。结论采用目标监测法监测新生儿重症监护室医院感染，可及时和客观发现隐匿性感染，提高结果的准确性。严格执行集束化干预措施，对降低新生儿重症监护室医院感染，保障患儿医疗护理安全具有重要意义。%Objective To explore the incidence of nosocomial infection in a neonatal intensive care unit(NICU) so as to come out with scientific and effective measures for infection control. Method Real-time monitoring system was used for investigating nosocomial infection of ventilator-associated pneumonia (VAP), catheter-associated urinary tract infection (CAUTI), and central-line associated bloodstream infection (CLABSI) in NICU. Results Among 2 836 patients, 28 patients were infected, with the rate of 0.99%and the case-time infection rate of 1.09%. The nosocomial infection manifested to be blood infection with the rate of 35.48%, and 10%of main pathogens were gram-negative bacteria. Conclusions Targeted monitoring in NICU can make the nosocomial infection information acquired timely, objectively and accurately. The strict and intensified prevention and control program should be adopted to reduce the neonatal nosocomial infection.