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中文摘要: 目的 了解儿科病房医院感染的动态变化，分析其分布规律及危险因素，为控制住院患儿医院感染提供科学依据。方法 整群分层抽取2014-2016年庆阳市人民医院儿科病历4500份，回顾性分析该院儿科3年院内感染的分布情况。结果 儿科医院感染平均发生率4.01%，3年依次为4.52%、4.06%、 3.65%，呈逐年下降趋势。以消化道感染为主，好发于10-12月份，1岁以下患儿院内感染率高达95.56%，集中发生在入院10-14天，病原体的检出率依次为病毒、细菌和真菌。Logistic多因素回归分析结果显示，患儿年龄、住院天数、侵袭性诊疗为引起儿科病房院内感染的主要危险因素。结论：根据儿科病房院内感染的流行病学特征，全面考虑各因素间的作用规律及与病区环境和医院管理的关系，是控制儿科院内感染的有效途径。
Abstract:Objective: To observe dynamic change of nosocomial infection in the department of pediatrics, analyses distribution law and risk factors for controlling nosocomial infection in children a scientific basis. Method: With stratified-cluster random sampling, 4500 records in Qingyang Municipal Hospital’s pediatrics department over the year 2014 to 2016 . Those were analyzed retrospectively for a descriptive study. Results: Average incidence of nosocomial infection in department of pediatrics is 4.01 %, 3 years in descending order are 4.52%, 4.06%, 3.65%. The cases mainly are digestive tract infection in period of October to December, the incidence of nosocomial infection in under a year old is high up to 95.56%, often happens at beginning 10 to14 days, the detection rate of pathogens are virus, bacteria and fungi. Logistic multivariate regression analysis shows that the age of children, the days of hospitalization and invasive diagnosis and treatment give main risk factors to nosocomial infection in the department of pediatrics a chance. Conclusion: the effective way to control the nosocomial infection in the department of pediatrics is that goes through the law of interaction among concerned factors, and relationships between the management of ward environment and hospital based on epidemiological characteristics .
文章编号：3201712015 中图分类号：R1-9 文献标志码：
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