Risk Factors for Hospital Acquired Infections in Family Delivery Rooms
Objective To explore the risk factors and prevention measures of nosocomial infection in family delivery room,and to provide scientific basis for reducing nosocomial infection.Methods A total of 6 100 pregnant women admitted to the family delivery room of Zhengzhou People's Hospital from January 2020 to May 2023 were selected and divided into infected group(85 cases)and non-infected group(6 015 cases)according to whether nosocomial infection occurred.The clinical data of the two groups were compared,and the influencing factors of nosocomial infection were analyzed by univariate and multivariate logistic regression equation.Results The infection rate was 1.39％(85/6 100),including 42 cases of respiratory system infection,20 cases of reproductive tract infection,16 cases of surgical incision infection and 7 cases of urinary system infection.The proportion of patients with body mass index≥28 kg·m-2,cicatric uterus,premature rupture of membrane,gestational diabetes mellitus,gestational hypertension,albumin＜35 g·L-1,invasive examination times ≥ 3 times in infection group was higher than that in non-infection group,and the proportion of patients with albumin≥35 g·L-1 and regular ventilation in delivery room was lower than that in control group(P＜0.05).Body mass index≥28 kg·m-2,premature rupture of membranes,invasive examination ≥ 3 times was a risk factor for nosocomial infection,and albumin ≥ 35 g·L-1 was a protective factor for nosocomial infection(P＜0.05).The area under the curve(AUC)of the model for predicting infection was 0.762,indicating good predictive efficacy.Conclusion The occurrence of nosocomial infection in the family delivery room is mainly related to body mass index,premature rupture of membranes,invasive examination times,albumin,etc.Logistic prediction model can provide a reliable reference for clinical prediction of the risk of nosocomial infection,and it is suggested that the clinical intervention measures should be taken in advance to reduce the occurrence of nosocomial infection,so as to ensure the safety of the mothers and newborns.
family-oriented delivery roomhospital infectionrisk factorprevention and control measures
万方数据
维普
