Characteristics and risk factors of nosocomial infections in VLBWI
10.3969/j.issn.1671-8283.2013.09.009
- VernacularTitle:极低出生体重儿院内感染状况及原因分析*
- Author:
Shan SU
;
Jian YANG
;
Qun ZHENG
;
Yingjun LAI
;
Weiyuan WU
- Publication Type:Journal Article
- Keywords:
very low birth weight infants;
nosocomial infection;
risk factors
- From:
Modern Clinical Nursing
2013;(9):31-33,34
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the characteristics of nosocomial infection and its related factors among those very low birth weight infant(VLBWI)for coming up with appropriate preventive measures.Methods Fifty-eight infants with birth weight of 1500 g or below in the hospital from January to June in 2012 were studied actively and retrospectively about their nosocomial infection and related risk factors.Results Thirty-five cases of nosocomial infection occurred among the 58 infants with a prevalence of 60.34%. The mainly pathogenic bacteria was Gram-positive bacteria(88.47%)and mostly,infections presented with lung infections(82.90%) within 21 days after birth.The risk factors included mechanical ventilation,PICC,Apga score<7,fluconazole administration and premature rupture of membranes of VLBWI.Conclusion VLBWI are prone to nosocomial infections,mostly lung infection on day 21 after birth.Management should be strengthened within 3 weeks after birth of VLBWI to minimize infections.Reduction of invasive procedures on children and antibiotic use is particularly important.On the other hand,strengthening the health care in the perinatal period and reducing the incidence of preterm birth cannot be ignored.
