Impact of Nursing Interventions on Reducing the Hospital Infection Rates in Children with Extremely Low Birth Weight_West China Medical Journal

Authors：

 ZHOUFu-xia , LIUFang

Nursing Department, Maternal and Child Care Service Center of Qinhuangdao City, Qinhuangdao, Hebei 066000, P. R. China;

Corresponding author：

Keywords：

Children with extremely low birth weight; Hospital infection; Nursing intervention

DOI：

10.7507/1002-0179.20140701

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Objective To investigate the effects of nursing interventions on reducing the hospital infection rates in children with extremely low birth weight. Methods A total of 158 children with extremely low birth weight were treated in our hospital from January 2012 to June 2013. Based on the routine care, we took a series of other nursing interventions, such as strengthening environmental management, strict materials management and disinfection, active prevention of ventilator-associated pneumonia and catheter-related bloodstream infections, close monitoring of a series of isolated neonatal care interventions, to reduce the nosocomial infections in these children. Results The hospital infection rate of this group of children was 9.49%, and the rate of infection cases was 10.76%. The infection sites included blood system, respiratory tract, digestive tract, mouth and eye. The patients were improved or cured after anti-infection and symptomatic treatment and caring measures. Conclusion Scientific nursing interventions can reduce the incidence of nosocomial infection in children with extremely low birth weight.

Citation： ZHOUFu-xia, LIUFang. Impact of Nursing Interventions on Reducing the Hospital Infection Rates in Children with Extremely Low Birth Weight. West China Medical Journal, 2014, 29(12): 2319-2321. doi: 10.7507/1002-0179.20140701 Copy

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1. 杨恢才. 极低出生体重儿院内感染原因分析与监控对策[J]. 中外医学研究, 2011, 9(14):158-159.
2. 中华人民共和国卫生部. WS/T 312-2009医院感染监测规范[S]. 2009.
3. 胡必杰, 郭燕红, 高光明, 等. 医院感染预防与控制标准操作规程[M]. 上海:科学技术出版社, 2010:3.
4. 邵肖梅, 叶鸿瑁, 丘小汕. 实用新生儿学[M]. 4版. 北京:人民卫生出版社, 2011:67.
5. Mahfouz AA, Al-Azraqi TA, Abbag Fl, et al. Nosocomial infections in a neonatal intensive care unit in south-western Saudi Arabia[J]. East Mediterr Health, 2010, 16(1):40-44.
6. 黄国胜, 廖燕, 毕雷, 等. 新生儿重症监护病房医院感染临床特点及危险因素分析[J]. 中国新生儿科杂志, 2011, 26(5):304.
7. 任香娣, 孙献梅, 王克芳. 新生儿重症监护室医院感染危险因素研究[J]. 中国消毒学杂志, 2010, 27(2):150.
8. 牛桂林, 张羽. NICU医院感染目标性监测结果分析[J]. 中华医院感染学杂志, 2013, 23(2):281-285.
9. 徐敏娟. NICU医院感染的高危因素分析及护理策略[J]. 中华医院感染学杂志, 2012, 22(3):530-532.
10. 宋晓琳, 张莎. 背景音乐联合"鸟巢"在极低出生体重儿护理中的应用[J]. 护理实践与研究, 2012, 9(17):31-32.
11. 赵磊. 背景音乐在NICU中的应用[J]. 中国实用神经疾病杂志, 2009, 12(2):53-54.
12. 苏小玲, 邹小清, 陈少珍, 等. 音乐疗法对新生儿缺氧缺血性脑病影响的探讨[J]. 中国妇幼保健, 2008, 23(2):260.
13. Pittet D, Zingg W. Reducing ventilator-associated pneumonia:when process control allows outcome improvement and even benchmarking[J]. Crit Care Med, 2010, 38(3):983-984.
14. 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.
15. 李六亿. 我国手卫生的现状、问题与改进对策[J]. 中国护理管理, 2008, 8(1):17-19.
16. 乔甫, 宗志勇, 尹维佳. 开展科学研究,提升国内感染控制核心价值[J].华西医学, 2014, 29(3):401-403.
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19. 陈丽萍, 黄薇, 孙睿, 等. 新生儿科产超广谱β-内酰胺酶细菌感染调查分析[J]. 华西医学, 2014, 29(3):425-427.

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Impact of Nursing Interventions on Reducing the Hospital Infection Rates in Children with Extremely Low Birth Weight

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