本文選題：新生兒 + 皮膚感染��； 參考：《中外醫(yī)學研究》2017年11期

【摘要】：目的:調(diào)查筆者所在醫(yī)院產(chǎn)科病房新生兒皮膚感染及接觸新生兒的醫(yī)護人員帶菌情況,探討降低母嬰同室新生兒皮膚感染的措施。方法:前瞻性研究2015年1-12月筆者所在醫(yī)院產(chǎn)科病房新生兒皮膚感染與接觸新生兒醫(yī)護人員的帶菌情況。對新生兒皮膚感染取樣后進行細菌培養(yǎng)及菌株鑒定。每周定期對醫(yī)護人員手及鼻前庭進行取樣,標本進行細菌分離和鑒定。結果:2015年筆者所在醫(yī)院產(chǎn)科病房新生兒4032例,發(fā)生皮膚感染78例,皮膚感染的發(fā)生率為1.94%,上半年與下半年比較差異無統(tǒng)計學意義(P0.05)。共檢出病原菌52株,金黃色葡萄球菌(金葡菌)最常見,占25.0%。接觸新生兒醫(yī)護人員手及鼻腔樣本共978例,細菌檢測陽性率為19.3%。上半年及下半年細菌檢測陽性率分別為24.1%及14.5%,兩者之間差異有統(tǒng)計學意義(P0.05)。鼻腔樣本細菌檢測陽性率為26.4%,手樣本細菌檢測陽性率為12.3%,鼻腔樣本細菌檢測陽性率明顯高于手樣本(P0.05)。結論:金黃色葡萄球菌是新生兒皮膚感染主要的致病菌。加強醫(yī)護人員手及鼻腔衛(wèi)生的培訓及監(jiān)管,可有效降低帶菌率。
[Abstract]:Objective: to investigate the situation of neonatal skin infection in obstetrical ward of our hospital and the medical staff carrying bacteria in contact with newborn, and to explore the measures to reduce neonatal skin infection in the same room of mother and infant. Methods: a prospective study of neonatal skin infection and exposure to neonatal health care workers in our hospital from January to December 2015 was carried out. The bacterial culture and strain identification were carried out after sampling the skin infection of newborn. Samples of hand and nasal vestibule were sampled regularly and bacteria were isolated and identified. Results: in 2015, there were 4032 neonates in obstetrical ward of our hospital, 78 cases of skin infection, the incidence of skin infection was 1.94. There was no significant difference between the first half and the second half of the year (P0.05). A total of 52 strains of pathogenic bacteria were detected, among which Staphylococcus aureus (Staphylococcus aureus) was the most common (25.0%). A total of 978 cases were exposed to the hands and nasal cavity of newborn doctors and nurses, and the positive rate of bacteria test was 19.33. The positive rates of bacteria in the first half and second half of the year were 24.1% and 14.5g, respectively. The difference between them was statistically significant (P0.05). The positive rate of bacteria detection in nasal cavity samples was 26.4g, and that in hand samples was 12.3.The positive rate of nasal samples was significantly higher than that of hand samples (P0.05). Conclusion: Staphylococcus aureus is the main pathogen of skin infection in neonates. Strengthen the training and supervision of hand and nasal hygiene, can effectively reduce the rate of infection.
【作者單位】： 北京市大興區(qū)人民醫(yī)院;
【基金】：首都醫(yī)學發(fā)展科研基金資助項目(項目編號:2007-3201)
【分類號】：R473.72

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