摘要
目的探讨家庭化产房发生医院感染的相关危险因素及防治措施。方法回顾性选取2020年1月至2023年5月入住郑州人民医院家庭化产房的孕妇6100例,根据是否发生医院感染分为感染组(85例)和非感染组(6015例),比较两组临床资料,通过单因素及多因素logistic回归方程分析医院感染的影响因素。结果感染率为1.39%(85/6100),其中呼吸系统感染42例,生殖道感染20例,手术切口感染16例,泌尿系统感染7例。感染组体重指数≥28 kg·m^(-2)、瘢痕子宫、胎膜早破、妊娠糖尿病、妊娠高血压、白蛋白<35 g·L^(-1)、侵入性检查次数≥3次患者占比高于非感染组,白蛋白≥35 g·L^(-1)、产房定期通风患者占比低于对照组(P<0.05)。体重指数≥28 kg·m^(-2)、胎膜早破、侵入性检查次数≥3次是医院感染的高危因素,白蛋白≥35 g·L^(-1)是医院感染的保护因素(P<0.05)。模型预测感染的曲线下面积(AUC)为0.762,模型预测效能良好。结论家庭化产房产妇发生医院感染主要与体重指数、胎膜早破、侵入性检查次数、白蛋白等有关,logistic预测模型可为临床预测医院感染发生风险提供可靠参考,建议临床提前采取相应干预措施,减少医院感染发生,进而保证产妇和新生儿安全。
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 6100 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(6015 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%(85/6100),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.
作者
王宁宁
许晓峰
刘伟靓
WANG Ningning;XU Xiaofeng;LIU Weiliang(Department of Obstetrics,Zhengzhou People’s Hospital,Zhengzhou 450003,China)
出处
《河南医学研究》
CAS
2024年第1期73-76,共4页
Henan Medical Research
关键词
家庭化产房
医院感染
危险因素
防治措施
family-oriented delivery room
hospital infection
risk factor
prevention and control measures
