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

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