新生儿医院感染危险因素病例对照及干预措施研究
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Risk factors of nosocomial infection in neonates: A case-control study and investigation of the intervention effect
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    摘要:

    目的探讨新生儿医院感染危险因素及干预措施效果。方法通过病例对照研究,以条件Logistic法筛选出新生儿病房医院感染危险因素,并针对危险因素采取干预措施,前瞻性监测医院感染控制效果。结果14项相关因素中有3项即重症监护、侵袭性操作(插管)、住院时间长(〉9d)经单因素和多因素分析有统计学意义;采取相应控制措施后。新生儿医院感染率从2003年下半年的16.20%降至2004年同期的8.29%。结论重症监护、侵袭性操作(插管)、住院时间长是新生儿发生医院感染的危险因素;提高新生儿免疫力、加强手消毒、全面规范消毒是控制新生儿医院感染的有效措施。

    Abstract:

    Objective To explore the risk factors of nosocomial infection(NI) in neonates and the effect of improved preventing measures.Methods A case-control study was used and the conditional logistic regression model was applied in this study.The NI rates were prospectively surveyed after the interventions were adopted according to the risk factors.Results By analyzing 14 related factors,3 factors were of statistically significant from the results of both univariate analysis and multiple conditional logistic regression.After preventive measures were applied,NI rates decreased from(16.20%) of the latter half of 2003 to(8.29%) during the same period of 2004.Conclusion Intensive care unit,invasive operation and long hospital stay were risk factors for neonatal NI.Improving the neonatal immunity,strengthening the handwashing and implementing the standard disinfection were much helpful for the control of the neonatal nosocomial infection.

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王江桥,邱燕玲,林伟玲,等.新生儿医院感染危险因素病例对照及干预措施研究[J]. 中国感染控制杂志,2005,4(4):312-314.
WANG Jiang-qiao, QIU Yan-ling, LIN Wei-ling, et al. Risk factors of nosocomial infection in neonates: A case-control study and investigation of the intervention effect[J]. Chin J Infect Control, 2005,4(4):312-314.

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