连续5年儿科医院感染病例监测分析评价

董宏亮1，黄立勋1 ，张默吟2 ，周捷2 ，冯亚红3

（1.西安交通大学医学部，陕西 西安，710061；2.西安市第九医院，陕西 西安，710054；3.陕西省中医医院，陕西 西安，710003）

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摘要：

目的 了解儿科患者发生医院感染的主要特点，为儿科医院感染预防控制及干预提供科学依据。方法 回顾性分析我院儿科2012-2016 年的住院病例的临床资料，分析儿科医院感染发生的主要类型及影响因素。结果 发生医院感染86 例，感染率为3.32%。2012 年19 例（5.19%），2013 年21 例（4.92%），2014 年16 例（3.13%）感染率，2015 年14 例（2.28%），2016 年16 例（2.40%）。感染的最常见感染部位为上呼吸道感染（38.20%），其次是下呼吸道感染（19.10%）和胃肠道（13.48%）。病原学送检率为91.86%（79/86），检出病原菌阳性标本52 例（65.82%），G原菌15 例（28.85%），G垣菌11 例（21.15%），病毒22 例（42.31%），支原体3 例（5.77%），真菌1 例（1.92%）。总抗菌药物使用率为95.35%（82/86），玉联用药51 例（62.20%），域联用 药29 例（35.37%），芋联及以上3 例（3.66%）。结论 根据儿科医院感染发生的特点，应重视病区空气消毒及基础护理工作，提 高医务人员手卫生的依从性，有效的预防和控制医院感染的发生。

关键词：儿科；医院感染；监测

中图分类号：R181.8文献标志码：A文章编号：2096-1413(2017)32-0103-02

Analysis and evaluation of hospital infection case surveillance in pediatric for 5 consecutive years
DONG Hong-liang 1, HUANG Li-xun 1, ZHANG Mo-yin 2, ZHOU Jie 2, FENG Ya-hong 3
(1. Xi``an Jiaotong University Health Science Center, Xi``an 710061; 2. the Ninth Hospital of Xi``an, Xi``an 710054;
3. Shaanxi Provincial Hospital of Traditional Chinese Medicine, Xi``an 710003, China)

ABSTRACT: Objective To evaluate the characteristic of the children who suffered from hospital infection, to provide scientific basis for prevention and control of the infectious infection and intervention in pediatric hospital. Methods The clinical data hospitalized cases in our department of pediatric from 2012 -2016 was retrospectively analyzed, and the main types and influencing factors of infection in pediatric hospital were analyzed. Results There were 86 cases of hospital infection, and the infection rate was 3.32%. There were 19 cases (5.19%) in 2012, 21 cases (4.92%) in 2013, 16 cases (3.13%) in 2014, 14 cases (2.28%) in 2015 and 16 cases (2.40%) in 2016. The most common infection site of infection was upper respiratory tract infection (38.20%), followed by lower respiratory tract infection (19.10%) and gastrointestinal tract (13.48%). The pathogenic detection rat was 91.86% (79/86), and 52 cases (65.82%) of pathogenic bacteria were detected, 15 cases (28.85%) of G-bacteria, 11 cases (21.15%) of G+ bacteria, 22 cases (42.31 %) of virus, 3 cases (5.77%) of mycoplasma, 1 case (1.92%) fungi. The total antimicrobial use rate was 95.35% (82/86), 51 cases (62.20%) were Ⅰ combination, 29 cases (35.37%) were Ⅱ combination, and 3 cases (3.66%) were Ⅲ or above combination. Conclusion According to the characteristics of pediatric hospital infection, we should pay more attention on ward air disinfection and basic nursing work, improve the compliance of medical staff hand hygiene, and then effectively prevent and control the occurrence of hospital infection.
KEYWORDS: pediatrics department; hospital infection; surveillance

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