ObjectiveTo investigate the distribution and drug resistance of the pathogens isolated from hospitalized pediatric patients with respiratory tract infections, and to provide guidance for empiric therapy. MethodsRespiratory tract specimens from hospitalized pediatric patients with respiratory tract infections from 2011 to 2015 were collected, and the strains were identified and the drug susceptibility was tested. ResultsA total of 1995 strains of pathogens, 1281 (64.21%) from boys and 714 (35.79%) from girls, were isolated from 6236 specimens and the detection rate was 31.99%. The mean age of the hospitalized pediatric patients was (1.22±2.05) years (ranged from 1 day to 14 years). 1393 (69.82%) pediatric patients were younger than 1 year. Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae, Candida albicans and Acinetobacter baumannii ranked the top five species, accounting for 29.82%, 15.09%, 13.18%, 12.73% and 5.91%, respectively. 1995 strains included gram-negative bacteria (50.93%), gram-positive bacteria (35.29%), and fungi (13.78%). The resistance rate of Staphylococcus aureus to oxacillin was 31.76%, but it was 100% sensitive to vancomycin and linezolid. The resistant rate of gram-negative bacteria to imipenem was ranged from 1.52% to 5.93%. The resistant rate of gram-negative bacteria to ceftazidime, cefepime, piperacillin tazobactam and tobramycin was less than 30.00%. ConclusionsThe infants whose age are younger than 1 year comprise the majority of the hospitalized pediatric patients with respiratory tract infections. The proportion of male is more than that of female. Staphylococcus aureus and enterobacteriaceae were the main isolated pathogens. There is difference in drug resistance between different pathogens, so antibiotics should be chosen according to the results of drug sensitivity testing.
Objective To investigate the clinical effect of child-friendly nursing based on Goal Attainment Theory during the perioperative period in children undergoing day surgery. Methods Using convenience sampling, pediatric patients undergoing day surgery at the Day Surgery Center of West China Hospital, Sichuan University, between July 2024 and January 2025 were selected as the study participants. The patients were randomly assigned to an intervention group or a control group using a random number table. The control group received routine perioperative nursing care, while the intervention group received child-friendly nursing based on Goal Attainment Theory in addition to routine care. Anxiety [modified Yale Preoperative Anxiety Scale (m-YPAS)], crying behavior, treatment cooperation, and family members’ satisfaction with nursing care were compared between the two groups before and after the intervention. Results A total of 120 pediatric patients were included, with 60 patients in each group. After the intervention, the intervention group had lower m-YPAS scores [(33.46±4.37) vs. (45.25±5.63) points], fewer crying episodes [(1.49±0.42) vs. (3.48±0.45) episodes], and shorter duration of each crying episode [(4.23±1.84) vs. (7.37±2.36) min] than the control group (P<0.001). The overall treatment cooperation rate was higher in the intervention group than that in the control group (91.67% vs. 78.33%; χ2=4.183, P=0.041). The overall satisfaction rate of family members with nursing care was also higher in the intervention group than that in the control group (95.00% vs. 81.67%; χ2=5.175, P=0.023). Conclusion Child-friendly nursing based on Goal Attainment Theory can alleviate perioperative anxiety and crying behavior in pediatric patients undergoing day surgery, improve treatment cooperation and family members’ satisfaction with nursing care, and has potential clinical application value.