【摘要】 目的分析儿童医院内获得性轮状病毒肠炎的发病因素与应对。方法选取2014年2月—2019年2月本院80例确诊为院内感染轮状病毒肠炎的患儿的临床资料进行回顾性分析,观察患儿的症状、年龄、喂养方式、住院时长、发病季节和接触史。结果 80例患儿均发生腹泻,58例婴儿中有50例出现呕吐症状和42例出现发热症状,婴儿的呕吐和发热症状发生率分别为86.21%和72.41%,22例幼儿中有12例出现呕吐症状和8例出现发热症状,婴儿的呕吐和发热症状发生率分别为54.55%和36.36%,婴儿的呕吐、发热症状发生率高于幼儿(P <0.05);80例患儿中有32例是母乳喂养,占比为40.00%,有48例是混合喂养,占比为60.00%,混合喂养患儿占比高于母乳喂养(P <0.05);住院7天以内的患儿有23例,占比为28.75%,住院7天以上的患儿有57例,占比为71.25%,住院7天以上的患儿比例高于7天内的(P <0.05);80例患例中有59例是发生在秋冬季,占比为73.75%,21例发生在春夏季,占比26.25%,秋冬季节的患病率高于春夏季节(P <0.05);有接触史的患儿高达60例,占比为75.00%。结论婴幼儿发生医院内获得性轮状病毒肠炎与年龄、喂养方式、住院时间及医院卫生管理有关,应当提高医院卫生管理,加强疾病的分类管理,对母婴进行健康宣导,指导喂养方式,尽量避免发生院内感染。更多还原

【Abstract】 Objective To analyze acquired rotavirus enteritis in children’s hospital. Methods The clinical data of 80 children diagnosed with nosocomial rotavirus enteritis in our hospital from February 2014 to February 2019 were retrospectively analyzed. The symptoms, age, feeding style, duration of hospitalization, onset season and contact history were observed. Results All children developed diarrhea. Among 58 infants, 50 cases got vomiting and 42 cases got fever, the incidence rate was 86.21% and 72.41% respectively. Among 22 young children, 12 cases got vomiting and 8 cases got fever, the incidence rate was 54.55% and 36.36%. The proportion of vomiting and fever in infants was significantly higher than that in young children(P < 0.05). 32 cases were breastfeeding, account for 40.00%, 48 cases were mixed feeding, accounting for 60.00%. The proportion of children with mixed feeding was significantly higher than that of breastfeeding(P < 0.05). The duration of hospitalization was within 7 days in 23 cases, accounting for 28.75%, the duration of hospitalization was more than 7 days in 57 cases, accounting for 71.25%. The proportion of children who were in hospital more than 7 days was significantly higher than that within 7 days(P < 0.05). 59 cases got ill in autumn and winter, accounting for 73.75%, 21 cases in spring and summer, accounting for 26.25%, the prevalence rate in autumn and winter was significantly higher than that in spring and summer, and rate of children with contact historywas 75.00%. Conclusion Hospital acquired rotavirus enteritis in infants and young children is related to age, feeding method, hospitalization time and hospital health management. It is necessary to improve hospital health management, strengthen the classification management of diseases, conduct health promotion for mothers and infants, and guide feeding methods, thus to avoid nosocomial infections.更多还原