【摘要】：目的探討飛行檢查對住院危重新生兒醫(yī)院感染的預(yù)防控制效果。方法對醫(yī)院2012年1月-2015年12月新生兒重癥監(jiān)護(hù)室(NICU)實施飛行檢查預(yù)防控制管理醫(yī)院感染,2008年1月-2011年12月為未實施階段;比較實施飛行檢查前后醫(yī)院感染率,手衛(wèi)生依從率、洗手正確率、手衛(wèi)生知識知曉率、醫(yī)院感染知識知曉率,環(huán)境衛(wèi)生抽查監(jiān)測合格率和醫(yī)務(wù)人員手監(jiān)測合格率;醫(yī)院感染患兒進(jìn)行病原菌檢測。結(jié)果飛行檢查實施前NICU入住患兒共4588例,醫(yī)院感染202例,感染率為4.40%;飛行檢查實施后NICU入住患兒共5754例,醫(yī)院感染160例,感染率為2.78%;飛行檢查實施后NICU醫(yī)院感染率顯著低于實施前(P0.05);飛行檢查實施前202例醫(yī)院感染患兒,共檢出257例病原菌,其中革蘭陽性菌106株,占41.25%,革蘭陰性菌141株,占54.86%,真菌10株,占3.89%;飛行檢查實施后160例醫(yī)院感染患兒,共檢出199例病原菌,其中革蘭陽性菌80株,占40.20%,革蘭陰性菌111株,占55.78%,真菌8株,占4.02%,實施前后,醫(yī)院感染病原菌構(gòu)成比較差異無統(tǒng)計學(xué)意義;與飛行檢查實施前相比,飛行檢查實施后手衛(wèi)生依從率、洗手正確率、手衛(wèi)生知識知曉率、醫(yī)院感染知識知曉率,環(huán)境衛(wèi)生抽查監(jiān)測合格率和醫(yī)務(wù)人員手監(jiān)測合格率均顯著提高(P0.05)。結(jié)論飛行檢查方法用于住院危重癥新生兒醫(yī)院感染的預(yù)防控制管理,有助于提高醫(yī)護(hù)人員手衛(wèi)生狀況和相關(guān)知識知曉率,從而降低醫(yī)院感染的發(fā)生率。
[Abstract]:Objective to investigate the preventive and control effect of flight examination on nosocomial infection in critically ill newborns. Methods from January 2012 to December 2015, flight examination, prevention and control of nosocomial infection were carried out in the neonatal intensive care unit (NICU) of the hospital, and the period from January 2008 to December 2011 was not implemented. The hospital infection rate, hand hygiene compliance rate, hand hygiene knowledge awareness rate, hospital infection knowledge awareness rate, environmental hygiene spot inspection rate and hand monitoring pass rate were compared before and after flying examination. Pathogenic bacteria were detected in children with nosocomial infection. Results A total of 4588 children were admitted to NICU before flying examination, and the infection rate was 4.40%. After flying examination, 5754 cases were admitted to NICU and 160 cases were nosocomial infection, the infection rate was 2.78%. The nosocomial infection rate of NICU after flying examination was significantly lower than that before implementation (P0.05). A total of 257 pathogenic bacteria were detected in 202 children with nosocomial infection before flying examination, including 106 gram-positive bacteria (41.25%), 141 gram-negative bacteria (54.86%) and 10 fungi (3.89%). A total of 199 pathogenic bacteria were detected in 160 children with nosocomial infection after flight examination. Among them, 80 strains (40.20%) were Gram-positive bacteria, 111 strains (55.78%) were Gram-negative bacteria, 8 strains (4.02%) were fungi, and before and after implementation, there were 8 strains (4.02%). There was no significant difference in the composition of pathogenic bacteria in hospital infection. Compared with the pre-flight examination, the follow-up rate of hand hygiene, the correct rate of hand washing, the awareness rate of hand hygiene knowledge, and the awareness rate of hospital infection knowledge in flight examination were higher than those before the implementation of flight examination. The qualified rate of environmental hygiene spot check and monitoring and the qualified rate of hand monitoring of medical staff were significantly increased (P0.05). Conclusion Flight examination can be used for the prevention and control of nosocomial infection in critically ill neonates in hospital. It is helpful to improve the awareness rate of hand hygiene status and related knowledge among medical staff, and thus to reduce the incidence of nosocomial infection.
【作者單位】： 濱州醫(yī)學(xué)院附屬醫(yī)院新生兒與新生兒重癥科;濱州醫(yī)學(xué)院附屬醫(yī)院健康管理部;
【分類號】：R722.13

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