Distribution of Multidrug Resistant Organism in Neonates Admitted to Hospital through Various Ways and Prevention and Control of Nosocomial Infection_West China Medical Journal

Authors：

 ZHANGJing , XIECheng-bin , LIUDe-song , LIXu-qing

Department of Nosocomial Infection Management, Sichuan Provincial Hospital of Women and Children, Chengdu, Sichuan 610045, P. R China;

Corresponding?author：

Keywords：

Admission; Drug-resistant strain; Nosocomial infection; Prevention and control

DOI：

10.7507/1002-0179.20140127

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Objective To explore the distribution of multidrug resistant organism in neonates admitted to the hospital through various ways, and analyze the risk factors in order to avoid cross infection of multidrug resistant organism in neonatology department. Methods A total of 2 124 neonates were monitored from January 2012 to July 2013, among which 1 119 were admitted from outpatient department (outpatient group), 782 were transferred from other departments (other department group), and 223 were from other hospitals (other hospital group). We analyzed their hospital stays, weight, average length of stay, and drug-resistant strains, and their relationship with nosocomial infection. Results Among the 105 drug-resistant strains, there were 57 from the outpatient group, 27 from the other department group, and 21 from the other hospital group. The positive rate in the patients transferred from other hospitals was the highest (9.42%). Neonates with the hospital stay of more than 14 days and weighing 1 500 g or less were the high-risk groups of drug-resistant strains in nosocomial infection. Drug-resistant strains of nosocomial infection detected in the patients admitted through different ways were basically identical. Conclusion We should strengthen screening, isolation, prevention and control work in the outpatient neonate. At the same time, we can't ignore the prevention and control of the infection in neonates from other departments or hospitals, especially the prevention and control work in neonates with the hospital stay of more than 14 days and weighing 1 500 g or less to reduce the occurrence of multiple drug-resistant strains cross infection.

Citation： ZHANGJing, XIECheng-bin, LIUDe-song, LIXu-qing. Distribution of Multidrug Resistant Organism in Neonates Admitted to Hospital through Various Ways and Prevention and Control of Nosocomial Infection. West China Medical Journal, 2014, 29(3): 421-424. doi: 10.7507/1002-0179.20140127 Copy

1.	中華人民共和國衛生部. 衛生部辦公廳關于印發《多重耐藥菌醫院感染預防與控制技術指南(試行)》的通知[EB/OL]. (2011-01-26)[2013-12-01]. http://www.moh.gov.cn/mohyzs/s3594/201101/50487.shtml.
2.	曾云燕. 某院嬰兒新生兒病原菌分布耐藥性及多重耐藥菌感染情況的分析[J]. 中國醫藥指南, 2012, 10(29):205-206.
3.	代富力, 李蜀蓉. 2011年兒童醫院多重耐藥菌目標性監測分析[J]. 中國實用醫藥, 2012, 7(27):37-38.
4.	曾成惠, 何俊, 李雪梅, 等. 新生兒患者多重耐藥篩查結果與分析[J]. 華西醫學, 2013, 28(8):1149-1151.
5.	劉娟, 張巧玲, 林碧丹. 抗菌藥物的合理應用與醫院感染[J]. 海峽藥學, 2010, 22(7):147-148.
6.	苗亮, 閆素珍. 新生兒院內感染危險因素及對策[J]. 實用醫藥雜志, 2012, 29(5):447-448.
7.	陳幼華, 羅晉卿. 新生兒重癥監護病房醫院感染目標性監測結果分析[J]. 中國醫學創新, 2013, 10(12):43-44.
8.	賴基棟, 歐陽長安, 林新祝. 新生兒重癥監護室醫院感染產ELBLs菌株的臨床特點及耐藥分析[J]. 醫藥前沿, 2012, 32(3):123-124.
9.	潘麗華, 謝金良, 蔣蒲清. 產超廣譜β-內類酰胺酶肺炎克雷伯菌對新生兒病房的影響[J]. 當代醫學, 2010, 16(4):76-77.
10.	張秋月, 米延, 陳國萍. 新生兒敗血癥社區感染與醫院感染病原菌及耐藥性比較分析[J]. 中國新生兒科雜志, 2008, 23(5):273-275.
11.	彭蓉, 邢晉苓, 朱衛國. 重癥監護病房醫院感染目標監測結果分析及對策[J]. 華西醫學, 2013, 28(8):1179-1181.

1. 中華人民共和國衛生部. 衛生部辦公廳關于印發《多重耐藥菌醫院感染預防與控制技術指南(試行)》的通知[EB/OL]. (2011-01-26)[2013-12-01]. http://www.moh.gov.cn/mohyzs/s3594/201101/50487.shtml.
2. 曾云燕. 某院嬰兒新生兒病原菌分布耐藥性及多重耐藥菌感染情況的分析[J]. 中國醫藥指南, 2012, 10(29):205-206.
3. 代富力, 李蜀蓉. 2011年兒童醫院多重耐藥菌目標性監測分析[J]. 中國實用醫藥, 2012, 7(27):37-38.
4. 曾成惠, 何俊, 李雪梅, 等. 新生兒患者多重耐藥篩查結果與分析[J]. 華西醫學, 2013, 28(8):1149-1151.
5. 劉娟, 張巧玲, 林碧丹. 抗菌藥物的合理應用與醫院感染[J]. 海峽藥學, 2010, 22(7):147-148.
6. 苗亮, 閆素珍. 新生兒院內感染危險因素及對策[J]. 實用醫藥雜志, 2012, 29(5):447-448.
7. 陳幼華, 羅晉卿. 新生兒重癥監護病房醫院感染目標性監測結果分析[J]. 中國醫學創新, 2013, 10(12):43-44.
8. 賴基棟, 歐陽長安, 林新祝. 新生兒重癥監護室醫院感染產ELBLs菌株的臨床特點及耐藥分析[J]. 醫藥前沿, 2012, 32(3):123-124.
9. 潘麗華, 謝金良, 蔣蒲清. 產超廣譜β-內類酰胺酶肺炎克雷伯菌對新生兒病房的影響[J]. 當代醫學, 2010, 16(4):76-77.
10. 張秋月, 米延, 陳國萍. 新生兒敗血癥社區感染與醫院感染病原菌及耐藥性比較分析[J]. 中國新生兒科雜志, 2008, 23(5):273-275.
11. 彭蓉, 邢晉苓, 朱衛國. 重癥監護病房醫院感染目標監測結果分析及對策[J]. 華西醫學, 2013, 28(8):1179-1181.

West China Medical Journal

Distribution of Multidrug Resistant Organism in Neonates Admitted to Hospital through Various Ways and Prevention and Control of Nosocomial Infection

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