儿科住院患者医院感染的危险因素及相关护理对策

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Abstract Objective To explore the risk factors and related nursing strategies of nosocomial infection in pediatric inpatients. Methods The clinical data of 87 children suffered from nosocomial infection (study group) in the Affiliated Hospital of Inner Mongolia Medical University from January 2016 to February 2017 and another 87 children without nosocomial infection (control group) was analyzed retrospectively. The training of medical staff, disinfection, infected factors, infected sites, and age distribution in the two groups were compared and analyzed. Results The risk factors of nosocomial infection were mainly associated with antibiotics use, extra beds in the ward, critical conditions, prolonged hospital stay, unqualified air sterilization and medical apparatus and instruments, and no training to the medical staff; digestive system and respiratory system were found to be the major sites of nosocomial infection, up to 45.97% and 39.08% respectively; the cases of training on nosocomial infection (76 cases), qualified aseptic operation (77 cases) and qualified air sterilization (77 cases) in the control group were all more than those in observation group (56, 59, 66 cases), the differences were statistically significant (P ＜ 0.01 or P ＜ 0.05). Conclusion There are many factors that can incur nosocomial infection for children. By establishing a reasonable disinfection system and an infection management system, standardizing the operation of nursing staff, and enhancing the awareness of prevention and control, the incidence of nosocomial infection can be significantly reduced.

Key words： Nosocomial infection Children Risk factors Nursing strategy

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	LI Yerong LIU Guoqiang

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LI Yerong LIU Guoqiang. Risk factors and related nursing strategies of nosocomial infection in pediatric inpatients[J]. 中国医药导报, 2017, 14(26): 153-156.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2017/V14/I26/153

[1] 苏映玉，吴桂丽，庄珊珊，等.硫酸镁湿敷对腹股沟斜疝术后小儿阴囊血肿预后的影响[J].中华现代护理杂志，2015，21（27）：3325-3327.
[2] 程国平，戴昕，李自华，等.抗生素相关性腹泻患儿艰难梭菌感染分析[J].中华儿科杂志，2015，53（3）：220-224.
[3] 贾宁，尚积玉，陈会波，等.小儿内科患儿医院感染危险因素分析研究[J].中华医院感染学杂志，2014，24（20）：5131-5132.
[4] Cator E，Van MP. Nodal infection in Markovian susceptible-infected-susceptible and susceptible-infected-removed epidemics on networks are non-negatively correlated [J]. Phys Rev E Stat Nonlin Soft Matter Phys，2014，89（5）：163-168.
[5] Teruyuki H，Yoshikazu S，Shusei S，et al. Rhizobial infection does not require cortical expression of upstream common symbiosis genes responsible for the induction of Ca（2）spiking [J]. Plant J，2014，77（1）：146-159.
[6] 王红祥，陈建娥，张汶，等.小儿神经系统疾病医院感染调查分析与预防[J].中华医院感染学杂志，2015，25（1）：230-234.
[7] 饶维唪，王朋朋，谢伟，等.小儿外科重症监护病房医院感染病原茵分布和药敏分析[J].中国医师杂志，2015，17（7）：1086-1088.
[8] 李金颖，徐志英，邸顺祥.小儿脓毒症CD62p、CD63及CD64分子变化及临床意义探讨[J].中国小儿急救医学，2014，21（1）：16-18.
[9] 孟令香，唐芳，刘晓宁.品管圈对提高小儿磁共振检查镇静成功率的效果观察[J].中国实用护理杂志，2015，31（8）：592-594.
[10] Tian XH，Xu R. Global stability and Hopf bifurcation of an HIV-1 infection model with saturation incidence and delayed CTL immune response [J]. Appl Math Comput，2014，237（7）：146-154.
[11] Shu H，Wang L，Watmough J. Global stability of a nonlinear viral infection model with infinitely distributed intracellular delays and CTL immune responses [J]. Siam J Appl Math，2013，73（3）：1280-1302.
[12] 胡文娟，侯安存，申昆玲，等.中西医结合治疗儿童肺炎支原体下呼吸道感染的多中心临床研究[J].中华实用儿科临床杂志，2014，29（23）：1818-1820.
[13] 李静，董艳，徐保平.肺热咳喘口服液治疗肺炎支原体气管炎、支气管炎的多中心疗效观察[J].中华实用儿科临床杂志，2016，31（14）：1101-1104.
[14] Wang LY，Zhang J，Drobyshev I，et al. Incidence and impact of root infection by Heterobasidion spp.，and the justification for preventative silvicultural measures on Scots pine trees：a case study in southern Sweden [J]. Forest Ecol Manag，2014，315（25）：153-159.
[15] Riedel T，Rodriguez-Emmenegger C，de los Santos Pereira A，et al. Diagnosis of Epstein-Barr virus infection in clinical serum samples by an SPR biosensor assay [J]. Biosens Bioelectron，2014，55：278-284.
[16] Reinoso JA，de la Rubia FJ. Stage-dependent model for Hantavirus infection：the effect of the initial infection-free period [J]. Phys Rev E Stat Nonlin Soft Matter Phys，2013，87（4）：78-82.
[17] Akturk H，Sutcu M，Somer A，et al. Carbapenem-resistant Klebsiella pneumoniae colonization in pediatric and neonatal intensive care units：risk factors for progression to infection [J]. Braz J Infect Dis，2016，20（2）：134-140.
[18] 李美鹚，张丽华，林鲜奇，等.医院感染控制中临床护理路径的应用效果研究[J].中国医学创新，2016，13（31）：84-86.
[19] 魏爱琴，戴雪莲.医院感染监测管理持续改进效果[J].中国现代医生，2015，53（28）：118-121.
[20] 赵莹.某三级中西医结合医院医院感染发生率调查分析[J].现代医院，2016，16（6）：884-886.
[21] Feng C，Sidhwa F，Cameron DB，et al. Rates and burden of surgical site infections associated with pediatric colorectal surgery：insight from the national surgery quality improvement program [J]. J pediatr Surg，2016，51（6）：970-974.
[22] 张国娣.儿科病区医院感染的危险因素分析与管理对策[J].中华医院感染学杂志，2013，23（2）：346-347.
[23] 李会芳.医院感染病例监测与护理干预效果分析[J].中外医学研究，2016，14（15）：115-117.
[24] 刘雨，黄雪敏，张朝霞.住院患者医院感染现患率调查分析[J].现代医院，2015，15（5）：111-113.
[25] Luzyanina T，Bocharov G. Stochastic modeling of the impact of random forcing on persistent hepatitis B virus infection [J]. Math Comput Simulat，2014，96（2）：54-65.