首页|支原体肺炎儿童医院感染现状调查及影响因素和预防干预措施

支原体肺炎儿童医院感染现状调查及影响因素和预防干预措施

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目的:调查支原体肺炎患儿发生医院感染的情况,并分析导致感染发生的相关因素和预防干预措施.方法:选取2021年7月—12月漯河医专第三附属医院儿科收治的80例支原体肺炎患儿作为研究对象,应用问卷调查的方式收集儿童基础资料和临床信息,将是否发生感染为标准分为发生组和未发生组,采用单因素和多因素logistic分析法分析导致支原体肺炎患儿医院感染发生的相关因素和独立危险因素.结果:选取的80例患儿中,有9例患儿出现医院感染,发生率为11.25%.经单因素分析结果显示年龄、住院时间≥2周、贫血、多人病室、流行病接触史及发热天数≥3等为支原体肺炎儿童出现医院感染的相关因素;经多因素logistic分析法结果显示抗生素大量应用、侵入性操作、C反应蛋白>1.6 mg/L或>2.2 mg/L、补体C3<0.8 g/L等为支原体肺炎儿童出现医院感染的独立危险因素.结论:抗生素大量应用、侵入性操作、C反应蛋白>1.6 mg/L或>2.2 mg/L、补体C3<0.8 g/L等均为支原体肺炎儿童出现感染的独立危险因素,临床可根据调查的独立危险因素,采取相应的预防干预措施,可在减少儿童住院期间感染发生的同时,促进疾病的快速康复.
Survey on the Current Status of Hospital-acquired Infections in Children with Mycoplasma Pneumoniae,and its In-fluencing Factors and Preventive Interventions
Objective:To investigate the occurrence of hospital-acquired infections in children with mycoplasma pneumonia and to analyze the relevant factors leading to the occurrence of infections and preventive interventions.Methods:80 cases of chil-dren with mycoplasma pneumonia admitted to the hospital from July to December 2021 were selected as the study subjects,and the basic data and clinical information of the children were collected by questionnaire survey.They were divided into the occurrence group and the non-occurrence group based on the criteria of whether or not the infection occurred.Correlates and independent risk factors contributing to the development of hospital-acquired infections in children with mycoplasma pneumonia were analyzed using univariate and multivariate logistic analysis.Results:Of the 80 children selected,9 children developed hospital-acquired infections,with an incidence of 11.25%.The results of univariate analysis showed that age,length of hospitalization≥2 weeks,anemia,multiple patient rooms,history of epidemiologic exposure,and fever days≥3 were associated with the development of hospital-acquired infections in children with mycoplasma pneumonia.The results of the multifactorial logistic analysis method showed that high antibiotic application,invasive operation,C-reactive protein>1.6 mg/L or>2.2 mg/L,and complement C3<0.8 g/L were independent risk factors for the development of hospital-acquired infections in children with mycoplasma pneumonia.Conclusion:Heavy antibiotic application,invasive operation,C-reactive protein>1.6 mg/L or>2.2 mg/L,and complement C3<0.8 g/L are independent risk factors for the development of infections in children with mycoplasma pneumonia,and the clinic can take appropriate preventive interventions according to the investigated independent risk factors,which can reduce the occurrence of infections during hospitalization and promote rapid recovery of the disease at the same time.

Mycoplasma pneumoniaChildrenHospital infectionInfluencing factorsPrevention and intervention measures

张文莉、王丽亚

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漯河医专第三附属医院儿科,河南 漯河 462000

支原体肺炎 儿童 医院感染 影响因素 预防干预措施

河南省科技厅科技攻关计划

192102310052

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(2)
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