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新生儿缺血缺氧性脑病合并医院感染的现状与护理对策 被引量:8

Current status and nursing care for newborns with nosocomial infections complicated with hypoxic-ischemic encephalopathy
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摘要 目的探讨新生儿缺氧缺血性脑病(HIE)合并医院感染的现状、病原菌分布及护理对策。方法回顾性调查与分析128例新生儿缺氧缺血性脑病合并医院感染的病案资料,制定护理措施。结果新生儿缺氧缺血性脑病合并医院感染发病率为9.7%;感染部位主要为呼吸道、皮肤黏膜、口腔及脐部,分别占37.5%、30.5%、12.5%、11.7%;分离的病原菌主要为金黄色葡萄球菌、大肠埃希菌、凝固酶阴性葡萄球菌,分别占18.8%、15.6%、14.8%。结论强化综合护理措施,及时进行病原学检查,选择有效的抗菌药物控制感染,是HIE合并医院感染治疗成功的保证。 OBJECTIVE To investiate the latest status, constituent ratio of pathogenic bacteria and nursing care for newborns with nosocomial infections combined with hypoxic-ischemic encephalopathy (HIE). METHODS To constitute the nursing care measurement, a retrospective review was performed for 128 cases of nosocomial infections combined with HIE in newborns. RESULTS The incidence of nosocomial infections combined with HIE in newborns was 9. 7%. The infection sites were comprised of respiratory tract (37. 5%), skin and mucosa (30.5%), oral cavity (12.5%) and navel (11.7%). The pathogenic bacteria mainly composed of Staphylococcus aureus, Escherichia coli and coagulase-negative Staphylococci, accounting for 18. 8%, 15. 6% and 14. 8% respectively. CONCLUSION StrerLgthening comprehensive nursing care, timely etiological examination and select effective antibiotic agents to control infections will be the assurance of successful anti-infective treatment.
作者 孔双红
出处 《中华医院感染学杂志》 CAS CSCD 北大核心 2012年第7期1399-1400,共2页 Chinese Journal of Nosocomiology
关键词 新生儿 缺氧缺血性脑病 医院感染 护理对策 Newborns Hypoxic-ischemic encephalopathy Nosocomial infection Nursing countermeasures
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