The risk factors and preventive measures of hospital infections on preoperative children with cleft lips and palates

doi:10.7518/hxkq.2019.03.012

Abstract

Abstract:

Objective To analyze the risk factors of preoperative upper respiratory infections in children with cleft lips and palate (CLP) and investigate preventive measures to reduce infections and improve the quality of treatments. Methods A total of 510 children with CLP of ages 3 years old or younger were selected from hospital cases from June to December 2017. The test group comprised 50 children with upper respiratory infections, whereas the control group comprised 460 children without upper respiratory infections. A t-test and a multivariate logistic analysis were utilized to analyze the risk factors and to investigate the preventive measures. Results Feeding patterns, the presence of infected companions during hospitalization, and ventilation at night were statistically significant. The feeding patterns and the presence of infected companions during hospitalization were independent risk factors for upper respiratory infections in children with CLP. Conclusion Bottle feeding, infected companions during hospitalization, and the absence of window ventilation at night are risk factors for preoperative upper respiratory infections in children 3 years old or younger with CLP. Among the risk factors identified, feeding patterns and the presence of infected companion during hospitalization were the most influential. Medical staff members should strengthen corresponding health education and nursing measures to control the risk factors.

Key words: cleft lip and palate, preoperative, respiratory infection, risk factor

CLC Number:

R473.78

Lixian Chen,Xiaoxue Zhang,Caixia Gong. The risk factors and preventive measures of hospital infections on preoperative children with cleft lips and palates[J]. West China Journal of Stomatology, 2019, 37(3): 290-294.

Figures/Tables 2

References 18

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组别	n	喂养方式				陪伴人	夜间通风	日常生活环境		住院房间	住院房间	抚养人		就医旅途
组别	n	母乳	人工	混合	普食	员感冒	夜间通风	城镇	农村	温度/℃	总人数	父母	祖辈	时间/h
研究组	50	20	19	7	4	31	29	22	28	23.5±0.5	10.9±0.6	36	14	7.4±1.5
对照组	460	209	98	99	54	167	398	271	189	24.5±0.2	9.6±0.5	362	98	7.5±1.2
P值		0.00				0.00	0.01	0.55		0.06	0.1	0.2		0.9

相关因素	系数值	标准误	卡方值	P值	OR值
喂养方式（母乳喂养）	2.321	0.233	46.52	0.03	4.63
陪伴人员呼吸道感染	1.23	0.36	15.33	0.02	1.73
夜间未开窗通风	1.03	0.32	18.26	0.53	1.28