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目的结合孝感市中心医院儿科门诊输液室发生医院感染现状,分析相关危险因素,为减少医院感染事件的发生提供科学依据。方法以孝感市中心医院儿科门诊2014年1-12月收治的1 641例输液患儿为研究对象,将其中192例发生医院感染的患儿设为观察组,剩余1 449例未发生医院感染的患儿设为对照组。统计两组患儿性别、年龄、抗生素使用情况、持续输液时间、持续输液天数、输液期间开窗通风情况。结果本组研究中儿科输液室医院感染发生率为11.7%,其中以呼吸道感染发生率最高,占比56.3%。观察组年龄<3岁、连续输液时间>6h、连续输液天数>7 d、较少开窗通气者占比均高于对照组,组间差异有统计学意义(P<0.05);两组患儿性别、抗生素使用情况组间对比差异无统计学意义(P>0.05)。经多元回归分析证实,年龄小、持续输液时间长、持续输液天数多、较少开窗通风均为发生医院感染的相关危险因素,OR值分别为:2.083、1.449、1.201及1.021。结论儿科门诊输液室医院感染风险高,患儿年龄小、持续输液时间长、输液期间较少开窗通风均易引起医院感染发生,临床务必加强防范。
Objective To analyze the prevalence of nosocomial infection in pediatric outpatient department of Xiaogan Central Hospital and analyze the related risk factors so as to provide a scientific basis for reducing the incidence of nosocomial infections. Methods One hundred and sixty-four infants admitted from January to December 2014 in Xiaogan Central Hospital were enrolled. Among them, 192 children with nosocomial infection were selected as the observation group and the remaining 1 449 nosocomial infections Children as the control group. Statistics of two groups of children with gender, age, antibiotic use, continuous infusion time, continuous infusion days, window ventilation during infusion. Results The incidence of hospital infection in pediatric infusion room in this study was 11.7%, of which the highest incidence was respiratory infection, accounting for 56.3%. The patients in the observation group were less than 3 years old, the continuous infusion time was> 6 hours, the number of continuous infusion> 7 days, and the proportion of patients with less open window ventilation was higher than that of the control group (P <0.05) There was no significant difference in gender and antibiotic use between the two groups (P> 0.05). Multiple regression analysis confirmed that age, continuous infusion for a long time, continuous infusion days, less open window ventilation are associated risk factors for nosocomial infections, OR values were: 2.083,1.449,1.201 and 1.021. Conclusion The risk of nosocomial infection in pediatric outpatient infusion room is high. Children with small age, long duration of infusion, and less open ventilation during infusion may cause nosocomial infections and clinical precaution must be strengthened.