《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (02): 162-163.

• 临床研究 • 上一篇    下一篇

1014例患儿医院感染原因分析

徐蕾   

  1. 青岛市妇女儿童医疗保健中心 山东青岛市 266001
  • 收稿日期:2005-08-08 出版日期:2006-02-25 发布日期:2006-02-25

Factors of Nosocomial Infection of 1014 Disabled Children

XU Lei   

  1. The Health Center of Qingdao Women and Children Hospital,Qingdao 266001, Shandong, China
  • Received:2005-08-08 Published:2006-02-25 Online:2006-02-25

PDF (PC)

被引次数

18

摘要： 目的探讨患儿医院感染的原因。方法回顾性分析1014例患儿医院感染的原因,以及医院感染发生部位构成比、住院时间、患儿年龄、接触史等因素与医院感染的关系。结果1014例患儿发生医院感染291例,发生率29%,其中呼吸道感染276例,占94.8%(上呼吸道213例,占73.2%;下呼吸道63例,占21.6%),其次为消化道感染22例,占7.6%;患儿年龄<1岁者感染率44.6%,1～3岁者感染率37.8%,>3岁者感染率27.5%;有感染接触史的患儿感染率31.6%,高于无感染接触史者(9.1%);上述各组的感染率有显著性差异(P≤0.05);住院时间与医院感染无明显相关。结论患儿年龄、有无感染接触史、住院环境及自身营养状况等影响医院感染发生率,而住院时间与医院感染无明显相关。

关键词: 儿童, 医院感染, 原因

Abstract: ObjectiveTo explore the causation of nosocomial infection in disabled children.MethodsThe causation of nosocomial infection in disabled children (n=1014) was analyzed retrospectively. The relationship between nosocomial infection and the factors, such as constituent ration in the infections parts, time in hospital, age and contact history separately were analyzed.ResultsOut of the 1014 patients, 291 cases were infected (the rate was 29%). The main site was in the respiratory system (276 cases, 94.8%). Among that, 73.2 % in upper respiratory tract and 21.6% in lower respiratory tract. The infection of digestive canal was only 7.6 %. The nosocomial infection rate in children under 1, 1～3, and above 3 years old were 44.6%, 37.8% and 27.5% respectively. The rate of those with contagious contact history was 31.6%, significantly higher than the ones without contact history (9.1%) (P≤0.05). There was no significant difference between infection rate and the time in hospital.ConclusionThe nosocomial infection is related to the age, contagious contact history, hospital environment and body nutritional situation, but not with time in hospital.

Key words: children, nosocomial infection, causation