Status And Risk Factors Of Hospital Infection In A Maternal And Child Health Hospital

Objective:To explore the characteristics and risk factors of hospital infection in a maternal and child health hospital, and provide a scientific basis for the effective prevention and control of hospital infection, and reduce the burden of disease in patients, promoting an early recovery.Methods:This study used research methods of the combination of retrospective and cross-sectional survey. Retrospective research was mainly used to study the hospital infection and its in the maternal and child health hospital, including the patients’ data, rate of hospital infection, time and distribution of hospital infection and so on. The information was collected by the hospital medical record department and information department and other relevant departments from January1,2010to December31,2012in the hospital. Cross-sectional survey research was mainly used to study neonatal patients. Considering for the characteristic of the work, the researcher collected and compiled the the patient’s information, including detailed demographic characteristics of the patients and hospital infection causes in detail, the infection, infection time and the possible risk factors of hospital infection, etc during January1,2011to December31,2012. Finally, we explored the risk factors for nosocomial infection through the single factor and multiple factors analysis.Results:2010-2012, the patients’total number of the hospital was64213. The total number of infectious patients’was348cases, and hospital infection rate was0.54%. The rate of hospital infection was0.76%in2010,0.48%in2011, and0.44%in2012. The rates of hospital infection showed a declining trend. Pediatric (2.22%), prenatal (1.28%), reproductive subjects (0.91%) were ranked the top three in hospital in departments of the hospital infection in2010, which were neonatology (2.91%), pediatrics (0.43%), reproductive subjects (0.38%) in2011, and neonatology (1.84%), pediatrics (1.01%), reproductive Branch (0.47%) in2012. Site of infection distribution in the hospital, all348cases of flu patients in hospital, among the top five sites of infection in three years were:upper respiratory tract infection126cases, accounting for36.2%; eye infection in41cases, accounting for11.8%; lower respiratory tract infection,34cases (9.8%); skin and soft tissue infections in27cases, accounting for7.8%; gastrointestinal tract, mouth and other parts of the infection in25cases, accounting for7.2%. Where in2010the infection rate among the top three pediatric departments followed, the infection rate was2.22%; prenatal infection rate was1.28%; Reproductive infection rate was0.91%;2011infection rate among the top three of the sections were neonatology, the infection rate was2.91%; Pediatrics, the infection rate was0.43%; Reproductive infection rate was0.38%;2012infection rate among the top three of the neonatology department followed, the infection rate was1.84%; pediatrics, infection rate was1.01%; Reproductive infection rate was0.47%. Rate of neonatal infection was2.91%in2011, and1.84%in2012.Univariate analysis showed that male patients with hospital infection rates in female patients with hospital infection rates, the difference was statistically significant (P＜0.001); birth weight aspect,<2500g group of patients with hospital infection rates at≥2500g group the patient’s hospital infection rates, the difference was statistically significant (P0.001); gestational age, the<37weeks of hospital infection group of patients was higher than in patients≥37weeks group hospital infection rates, the difference was statistically significant (P<0.001); hospitalization aspects,≥15days subgroup of patients with hospital infection rate in<15days group of patients with hospital infection rates, the difference was statistically significant (P<0.001). Intravenous nutrition in patients with hospital infection rate is higher than in patients without intravenous nutrition of hospital infection rates, the difference was statistically significant (P<0.001). With neonatal respiratory distress syndrome, neonatal asphyxia, hypoxic-ischemic encephalopathy new child, neonatal pneumonia, hyperbilirubinemia hospital infection rate in patients with no corresponding disease in patients with hospital infection rates, the difference statistically significant (P<0.05). Multivariate logistic regression analysis showed that low gestational age, gender, low birth weight, length of hospital stay and neonatal asphyxia neonatal nosocomial infection is a major risk factorConclusion:The rate of hospital infection is0.76%in2010,0.48%in2011and0.44%in2012in the maternal and child health hospital. The rates of hospital infection showes a declining trend. Department of Neonatology, pediatrics and reproductive have a high incidence of hospital infection. Upper respiratory tract infection, lower respiratory tract infections and skin and soft tissue have high incidence of hospital infection. Low gestational age, low birth weight, length of hospital stay and hospital neonatal asphyxia are risk factors for neonatal infection.