ABSTRACT
Objective To investigate the prevalence of healthcare-associated infection(HAI)in a children's spe-cialty hospital in Guangzhou in 2014.Methods A cross-sectional survey was undertaken to investigate the preva-lence of HAI among all hospitalized patients on September 17,2014.Results A total of 997 patients were investiga-ted,30 patients developed 32 times of HAI,HAI rate and HAI case rate were 3.01% and 3.21% respectively. The main infection sites were upper respiratory tract(n= 11,34.38% );the departments with higher HAI prevalence rates were intensive care unit(ICU,3 .99% )and pediatric internal medicine department(3 .60% );the rate of etio-logical examination in patients with HAI accounted for 93 .33% ,a total of 24 strains of pathogens were isolated,6 of which were virus (25 . 00% ),6 were fungi (25 . 00% ),11 were bacteria (45 . 83% ),and 1 was Chlamydia (4.17% ). The main bacteria were Staphylococcusaureus (n= 3,27.27% )and Staphylococcusepidermidis (n= 3, 27.27% );a total of 451 (45.24% )patients received antimicrobial agents on the investigation day,67.41% of whom received therapeutic use of antimicrobial agents,19.73% received prophylactic use,and 12.86% received both therapeutic and prophylactic use;mono-drug application accounted for 82 .26% ,the percentage of bacterial de-tection among patients with therapeutic antimicrobial use (including combination of therapeutic and prophylactic use)was 82.60% .Conclusion Management of key departments and key sites of HAI should be strengthened in children's specialty hospital,antimicrobial agents should be used rationally,so as to protect the safety of children.
ABSTRACT
OBJECTIVE To describe the epidemiology of nosocomial infections in children′s hospital.METHODS We performed a prospective and retrospective analysis to determine the prevalence of nosocomial infection.Data were collected from 2000 to 2007 in hospitalized cases.RESULTS The incidence of nosocomial infections was 3.43%,from then 40.27% were upper respiratory infections,28.94% of gastrointestinal infections,and 17.61%% bronchitis and pneumonia.The incidence had a tendency decreaseing P
ABSTRACT
OBJECTIVE To investigate the cause and preventive measurement for respiratory tract nosocomial(infection) in pediatric ICU(PICU).METHODS Prospective studies were conducted on the basis of clinic data with the positive result in(sputum) culture and X-ray report sheet from Jan to Dec 2005.RESULTS Eight sputum(specimens) of lower(respiratory) tract were positive.Eleven X-ray report sheets showed infection in lungs.(CONCLUSIONS) To explore the cause of infection in lower respiratory tract with mechanical ventilation,to strengthen training,strictly obey the rules of preventing nosocomial infection,and strengthen the surveillance etc are the main measurements to prevent(nosocomial) infection in PICU.
