Neonatal nosocomial infection prevention and control
Of: Xu Yan, Peng Junfen, Liu Ling, Liu Xueqing
[Keywords:] neonatal infection, prevention, control
In recent years, neonatal hospital infection outbreak events have occurred, and have caused more deaths were reported. Therefore, strengthening the management of neonatal hospital infection is imminent. I'm Home is located in the township of a second B General Hospital, January 2009 to December, up to 1026 the number of obstetric deliveries, due to the
susceptibility of newborns, infants increased risk of nosocomial infection. our hospital from reality, a thorough transformation of neonatal wards, making it more scientific and humanistic , which also more in line with hospital
infection control requirements.
1, the susceptibility of newborn
1.1 neonatal immune dysfunction and non-specific immunity
specific immunity has some defects, such as: easy and tender thin skin and mucous membrane defects, and weak acid less and
1.2 The lack of biological barrier around 1 week after birth and eventually the establishment of normal flora, so the lack of inhibition of biological barriers.
1.3 neonatal blood-brain barrier function of blood-brain
barrier dysfunction is poor, so the higher rate of neonatal sepsis complicated by encephalitis, the infection can account for 25% to 50%.
1.4 neonatal umbilical umbilical wound prone to wound infections.
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2 ways to neonatal hospital infection
2.1 Production tract infection
Mother to child vertical transmission 2.2
2.3 maternal exposure to pathogens through the mother hands, nipples, clothes, etc., in particular the establishment of rooming, greatly increasing the chance of neonatal infection.
2.4 The medical staff medical cause infection caused by neonatal infection of the hand is an important way, contact with contaminated hands newborns, can cause the spread of various pathogens.
2.5 neonatal intensive care equipment contaminated in a
variety of instruments, equipment, catheters, incubators, wet fluid and other pollutants can cause neonatal infection.
2.6 with milk or milk contaminated with pathogens, disinfection of contaminated milk lax neonatal
gastrointestinal infection caused by breast-feeding.
2.7 Other ways the neonatal susceptibility may be caused by a variety of ways of nosocomial infection in newborns, such as air media, navel and improper skin care and other areas should pay close attention.
3 Neonatal Hospital Infection Control and Prevention
3.1 to avoid cross infection and reduce hospital
3.1.1 Set the ward layout and reasonable non-restricted
area, on the outer ward. If the staff locker room, duty room, semi-restricted areas, usually on the ward the middle, such as offices, treatment rooms, restricted areas, on wards the inside, set common neonatal room, critically ill neonates rooms, isolation rooms newborns, premature children room.
3.1.2 The ward has a dedicated management requirements of
the indoor pool bathing newborns and medical staff sinks, faucets, switches, non-hand-touch, hand sanitizer for the
hospital-specific, dry hand towel by one person, one towel, newborn supplies strictly one-time use strict implementation
of disinfection and isolation system, and aseptic hand hygiene
3.1.3 Standardizing the medical act to enforce the operating rules and burglary management, access management, strengthen disinfection and management of newborn supplies, keep the air
fresh and clean.
3.1.4 strengthen newborn care to strengthen newborn skin care, oral care, umbilical care, eye care and respiratory care.
3.2 The rational use of antibiotics (1 strictly control the use of prophylactic antibiotics. (2, low toxicity and high
efficiency of infection by using antibiotics, avoid prolonged use of broad spectrum antibiotics to prevent superinfection.
3.3 to improve neonatal body resistance (1 to enhance feeding, breastfeeding on demand. (2 added immunoglobulin.
3.4 neonatal ward regular checks of hospital infection surveillance, collection of monitoring information, to detect signs of infection, blocking the outbreak occurred. In summary, our hospital infection control in hospitals by strengthening the newborn and to improve the hardware
facilities of the hospital to improve the prevention and control knowledge of medical staff level of neonatal hospital infection control in the specified range, to achieve effective prevention and control of nosocomial infection purposes, to
obtain social economic benefit!
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