Tỷ lệ nhiễm khuẩn bệnh viện và một số yếu tố liên quan tại khoa hồi sức cấp cứu Bệnh viện Nhi Trung ương

TCNCYH 68 (3) - 2010

detn<ase in children under 6 months old. Relative factors were early coinplenienlary tec'ding,

inalnourished during pregnancy, supplemenlary food was unappiopri.ite, shortage of hn'aslinilk,

premature. Conclusion: the rate of ritket was 12.8%; the most common syin|)loiTis were symphalit

neurology disorder and cranial delormities. Alkaline phosphatase incnvise and ionic calcium decrease.

Relative' risk were tompleinentary feeding in<iclec|u,ile, kick of expoure to siinlighl, lack ol breast - milk

,incl premaliire.

Keywords: ricket, cranial deformities, alkaline phosphatase

TY LE NHIEM KHUAN BENH VIEN VA MOT SO YEU TO

LIEN QUAN T/\l KHOA HOI SL/C CAP CL/U

BENHVIEN NHI TRUNG UONG

Le Thanh Duyen', Pham Van Thlng^

'Benh vien tinh Hai Dddng; Benh vien Nhi Trung dang

Muc tieu: xac dinh ly /c" nhit'm khuan hc'nh vic'n INKBVI va mdi sc7 ydki Id lien cjuan lai khoa I lc~>i sdc cap

( du Benh vic}n Nhi I rung ddng, ihdi gian td 01/10/2007 ddci 31^)9/2008. Doi tugng va phuang phdp nghien

cdu: md) la hdi cdu va lid'i> cdu. Ket qud: ty /d nhic'm kliuan benh vien chung la 52"'n. Irong dd viem phcv

benh vien cliidm 112,(>'!'„: Iidp den la nhic'm khu/in tiet niC'u, nhiem khuan huyet va nhiem khuan lien quan

den c~>iig ihdng. K.pneumoniae la nguyc-'n nhan liang dau gay nhiem khuan l>enh vien (.l4,8"/n), tidp den l,i

l'.aerugini>sa I iO,4"/,i). K.pneumoniae cdn nhay cim lOO'X, vdi imipenem, khang vdi cephalosporin the lie ba

va aminoglycoside. I'.aeruginosa cc>n nhay cam vdi nhieu khang sinh nhd: ciprofloxacin, cefepime,

celopcra/one, ccTta/idime, invpenern, amikacin, tobramycin {vdi mdc Id 65 - 90"',,). Trieu chdng chu yeu

Ciia viem phdi henh vien: si~>t. Ling tiet ddm dai, ran am/nd. bach cau tang, X - cjuang phdi cd dam md llhim

nhiem mdi gap > 70"/,,. Ket luan: ty le nhic^m khuan benh vien la 52"/o, trong dd viem phdi henh vic-n la

82,(i"'u. Cac yeu Id lien quan la: ihd may keo dai, dat lai ndi khi quan nhieu lan, sd dung Ihudc khang a - xil,

tiidi gian nam vien keo dai.

Tu' khoa: nhiem khua'n benh vien, yeu td lien quan, viem phc-ji benh vien

I. DA T VA N DE Nghien cdu NKBV djnh ky de xac: djnh ty Id

nhiem va ycni td' lien quan giu|) cho xay ddng va

Ihi/c: hien c|iii trinh vd khuan chuan la rat can

thiet. Vi vay chdng tdi tjf'n hanh nghien cdu cle

tai nay vdi muc tieu:

Nhiem khuan benh vic"n (NKBV) la nhdng

nhiem khuan mi c f)hai d cac benh nhan sau 48

gid nam vien, ma ldc vao khdng cd bieu hien

trieu i:hdng hay u benh.

/. Xdc dinh ty Ic nhiem khuan benh vien, cac

vi khuan gay benh thudng gap va tinh khdng

Nhiem khuan Ijenh vien la nhic'in khuan nang

khd dieu trj do vi khuan khang thudc khang sinh

,. . . ^- ,1 -. 1 - . - . , khdng sinh tai khoa Hoi sdc cap cdu Benh vicn

cao, lam keo dai thoi gian dieu tri, tang ly Ic td / . .

vong, tang mdc thi phi tho y tc"''va lam anh hddng

Nhi Trung uang.

ldi nv.n kinh tc. 2. Nhan xet dae diem lam sang, xet nghiem

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