Impact of Nursing Interventions on Reducing the Hospital Infection Rates in Children with Extremely Low Birth Weight_West China Medical Journal

Authors：

 ZHOUFu-xia , LIUFang

Nursing Department, Maternal and Child Care Service Center of Qinhuangdao City, Qinhuangdao, Hebei 066000, P. R. China;

Corresponding?author：

Keywords：

Children with extremely low birth weight; Hospital infection; Nursing intervention

DOI：

10.7507/1002-0179.20140701

Video：

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Objective To investigate the effects of nursing interventions on reducing the hospital infection rates in children with extremely low birth weight. Methods A total of 158 children with extremely low birth weight were treated in our hospital from January 2012 to June 2013. Based on the routine care, we took a series of other nursing interventions, such as strengthening environmental management, strict materials management and disinfection, active prevention of ventilator-associated pneumonia and catheter-related bloodstream infections, close monitoring of a series of isolated neonatal care interventions, to reduce the nosocomial infections in these children. Results The hospital infection rate of this group of children was 9.49%, and the rate of infection cases was 10.76%. The infection sites included blood system, respiratory tract, digestive tract, mouth and eye. The patients were improved or cured after anti-infection and symptomatic treatment and caring measures. Conclusion Scientific nursing interventions can reduce the incidence of nosocomial infection in children with extremely low birth weight.

Citation： ZHOUFu-xia, LIUFang. Impact of Nursing Interventions on Reducing the Hospital Infection Rates in Children with Extremely Low Birth Weight. West China Medical Journal, 2014, 29(12): 2319-2321. doi: 10.7507/1002-0179.20140701 Copy

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1. 楊恢才. 極低出生體重兒院內感染原因分析與監控對策[J]. 中外醫學研究, 2011, 9(14):158-159.
2. 中華人民共和國衛生部. WS/T 312-2009醫院感染監測規范[S]. 2009.
3. 胡必杰, 郭燕紅, 高光明, 等. 醫院感染預防與控制標準操作規程[M]. 上海:科學技術出版社, 2010:3.
4. 邵肖梅, 葉鴻瑁, 丘小汕. 實用新生兒學[M]. 4版. 北京:人民衛生出版社, 2011:67.
5. Mahfouz AA, Al-Azraqi TA, Abbag Fl, et al. Nosocomial infections in a neonatal intensive care unit in south-western Saudi Arabia[J]. East Mediterr Health, 2010, 16(1):40-44.
6. 黃國勝, 廖燕, 畢雷, 等. 新生兒重癥監護病房醫院感染臨床特點及危險因素分析[J]. 中國新生兒科雜志, 2011, 26(5):304.
7. 任香娣, 孫獻梅, 王克芳. 新生兒重癥監護室醫院感染危險因素研究[J]. 中國消毒學雜志, 2010, 27(2):150.
8. 牛桂林, 張羽. NICU醫院感染目標性監測結果分析[J]. 中華醫院感染學雜志, 2013, 23(2):281-285.
9. 徐敏娟. NICU醫院感染的高危因素分析及護理策略[J]. 中華醫院感染學雜志, 2012, 22(3):530-532.
10. 宋曉琳, 張莎. 背景音樂聯合"鳥巢"在極低出生體重兒護理中的應用[J]. 護理實踐與研究, 2012, 9(17):31-32.
11. 趙磊. 背景音樂在NICU中的應用[J]. 中國實用神經疾病雜志, 2009, 12(2):53-54.
12. 蘇小玲, 鄒小清, 陳少珍, 等. 音樂療法對新生兒缺氧缺血性腦病影響的探討[J]. 中國婦幼保健, 2008, 23(2):260.
13. Pittet D, Zingg W. Reducing ventilator-associated pneumonia:when process control allows outcome improvement and even benchmarking[J]. Crit Care Med, 2010, 38(3):983-984.
14. 彭蓉, 邢晉苓, 朱衛國. 重癥監護病房醫院感染目標監測結果分析及對策[J]. 華西醫學, 2013, 28(8):1179-1181.
15. 李六億. 我國手衛生的現狀、問題與改進對策[J]. 中國護理管理, 2008, 8(1):17-19.
16. 喬甫, 宗志勇, 尹維佳. 開展科學研究,提升國內感染控制核心價值[J].華西醫學, 2014, 29(3):401-403.
17. 曠凌寒, 王嘉敏, 周偉, 等. 新生兒科下呼吸道感染病原菌分布及耐藥性分析[J].華西醫學, 2014, 29(3):417-420.
18. 張靜, 謝成彬, 劉德松, 等. 不同入院途徑新生兒多重耐藥菌分布特點及感染防控要點[J]. 華西醫學, 2014, 29(3):421-424.
19. 陳麗萍, 黃薇, 孫睿, 等. 新生兒科產超廣譜β-內酰胺酶細菌感染調查分析[J]. 華西醫學, 2014, 29(3):425-427.

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Impact of Nursing Interventions on Reducing the Hospital Infection Rates in Children with Extremely Low Birth Weight

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