Objective To explore the distribution of multidrug resistant organism in neonates admitted to the hospital through various ways, and analyze the risk factors in order to avoid cross infection of multidrug resistant organism in neonatology department.
Methods A total of 2 124 neonates were monitored from January 2012 to July 2013, among which 1 119 were admitted from outpatient department (outpatient group), 782 were transferred from other departments (other department group), and 223 were from other hospitals (other hospital group). We analyzed their hospital stays, weight, average length of stay, and drug-resistant strains, and their relationship with nosocomial infection.
Results Among the 105 drug-resistant strains, there were 57 from the outpatient group, 27 from the other department group, and 21 from the other hospital group. The positive rate in the patients transferred from other hospitals was the highest (9.42%). Neonates with the hospital stay of more than 14 days and weighing 1 500 g or less were the high-risk groups of drug-resistant strains in nosocomial infection. Drug-resistant strains of nosocomial infection detected in the patients admitted through different ways were basically identical.
Conclusion We should strengthen screening, isolation, prevention and control work in the outpatient neonate. At the same time, we can't ignore the prevention and control of the infection in neonates from other departments or hospitals, especially the prevention and control work in neonates with the hospital stay of more than 14 days and weighing 1 500 g or less to reduce the occurrence of multiple drug-resistant strains cross infection.
Citation：
ZHANGJing, XIECheng-bin, LIUDe-song, LIXu-qing. Distribution of Multidrug Resistant Organism in Neonates Admitted to Hospital through Various Ways and Prevention and Control of Nosocomial Infection. West China Medical Journal, 2014, 29(3): 421-424. doi: 10.7507/1002-0179.20140127
Copy
Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
| 1. |
中华人民共和国卫生部. 卫生部办公厅关于印发《多重耐药菌医院感染预防与控制技术指南(试行)》的通知[EB/OL]. (2011-01-26)[2013-12-01]. http://www.moh.gov.cn/mohyzs/s3594/201101/50487.shtml.
|
| 2. |
曾云燕. 某院婴儿新生儿病原菌分布耐药性及多重耐药菌感染情况的分析[J]. 中国医药指南, 2012, 10(29):205-206.
|
| 3. |
代富力, 李蜀蓉. 2011年儿童医院多重耐药菌目标性监测分析[J]. 中国实用医药, 2012, 7(27):37-38.
|
| 4. |
曾成惠, 何俊, 李雪梅, 等. 新生儿患者多重耐药筛查结果与分析[J]. 华西医学, 2013, 28(8):1149-1151.
|
| 5. |
刘娟, 张巧玲, 林碧丹. 抗菌药物的合理应用与医院感染[J]. 海峡药学, 2010, 22(7):147-148.
|
| 6. |
苗亮, 闫素珍. 新生儿院内感染危险因素及对策[J]. 实用医药杂志, 2012, 29(5):447-448.
|
| 7. |
陈幼华, 罗晋卿. 新生儿重症监护病房医院感染目标性监测结果分析[J]. 中国医学创新, 2013, 10(12):43-44.
|
| 8. |
赖基栋, 欧阳长安, 林新祝. 新生儿重症监护室医院感染产ELBLs菌株的临床特点及耐药分析[J]. 医药前沿, 2012, 32(3):123-124.
|
| 9. |
潘丽华, 谢金良, 蒋蒲清. 产超广谱β-内类酰胺酶肺炎克雷伯菌对新生儿病房的影响[J]. 当代医学, 2010, 16(4):76-77.
|
| 10. |
张秋月, 米延, 陈国萍. 新生儿败血症社区感染与医院感染病原菌及耐药性比较分析[J]. 中国新生儿科杂志, 2008, 23(5):273-275.
|
| 11. |
彭蓉, 邢晋苓, 朱卫国. 重症监护病房医院感染目标监测结果分析及对策[J]. 华西医学, 2013, 28(8):1179-1181.
|
- 1. 中华人民共和国卫生部. 卫生部办公厅关于印发《多重耐药菌医院感染预防与控制技术指南(试行)》的通知[EB/OL]. (2011-01-26)[2013-12-01]. http://www.moh.gov.cn/mohyzs/s3594/201101/50487.shtml.
- 2. 曾云燕. 某院婴儿新生儿病原菌分布耐药性及多重耐药菌感染情况的分析[J]. 中国医药指南, 2012, 10(29):205-206.
- 3. 代富力, 李蜀蓉. 2011年儿童医院多重耐药菌目标性监测分析[J]. 中国实用医药, 2012, 7(27):37-38.
- 4. 曾成惠, 何俊, 李雪梅, 等. 新生儿患者多重耐药筛查结果与分析[J]. 华西医学, 2013, 28(8):1149-1151.
- 5. 刘娟, 张巧玲, 林碧丹. 抗菌药物的合理应用与医院感染[J]. 海峡药学, 2010, 22(7):147-148.
- 6. 苗亮, 闫素珍. 新生儿院内感染危险因素及对策[J]. 实用医药杂志, 2012, 29(5):447-448.
- 7. 陈幼华, 罗晋卿. 新生儿重症监护病房医院感染目标性监测结果分析[J]. 中国医学创新, 2013, 10(12):43-44.
- 8. 赖基栋, 欧阳长安, 林新祝. 新生儿重症监护室医院感染产ELBLs菌株的临床特点及耐药分析[J]. 医药前沿, 2012, 32(3):123-124.
- 9. 潘丽华, 谢金良, 蒋蒲清. 产超广谱β-内类酰胺酶肺炎克雷伯菌对新生儿病房的影响[J]. 当代医学, 2010, 16(4):76-77.
- 10. 张秋月, 米延, 陈国萍. 新生儿败血症社区感染与医院感染病原菌及耐药性比较分析[J]. 中国新生儿科杂志, 2008, 23(5):273-275.
- 11. 彭蓉, 邢晋苓, 朱卫国. 重症监护病房医院感染目标监测结果分析及对策[J]. 华西医学, 2013, 28(8):1179-1181.
