中国感染控制杂志Issue(6)：389-392,4.DOI:10.3969/j.issn.1671-9638.2015.06.008
抗菌手术薄膜在预防神经外科手术部位感染效果研究
Effect of antimicrobial-impregnated incise drape on preventing surgical site infection following neurosurgical operation
胡玲 1卢昌懿 1杨翠凤 1刘佳 1郭金友1
作者信息
- 1. 广州军区广州总医院，广东 广州 510010
- 折叠
摘要
Abstract
Objective To investigate the effect of antimicrobial-impregnated incise drape on preventing surgical site in-fection(SSI)following neurosurgical operation.Methods Patients undergoing neurosurgical operation from January to De-cember 2012 were divided into two groups:antimicrobial-impregnated incise drape group(group A)and general incise drape group(group B).The occurrence of SSI and risk factors for SSI were analyzed.Results Percentage of drape lifting at the wound edge in group A was lower than group B(38.3%[98/256]vs 96.88% [248/256],χ2 =200.57,P <0.01).Among 512 patients,SSI rate was 3.32%(n=17),SSI rate in group A was lower than group B(1.56%[4/256]vs 5.08%[13/256],χ2 = 7.93,P <0.05 ).Multivariate analysis revealed that body mass index ≥24,perioperative hypothermia,smok-ing,perioperative length of hospital stay ≥5 days,and lack of drape use were independent risk factors for SSI following neurosurgical operation.Conclusion Whether antimicrobial-impregnated incise drape is used in neurosurgical operation is one of the independent risk factors for SSI following neurosurgical operation,it can effectively reduce the drape lifting rate and incidence of SSI,and is recommended to be used in neurosurgical operation.关键词
神经外科/抗菌手术薄膜/手术部位感染/医院感染Key words
neurosurgery/antimicrobial-impregnated incise drape/surgical site infection/healthcare-associated infection分类
医药卫生引用本文复制引用
胡玲,卢昌懿,杨翠凤,刘佳,郭金友..抗菌手术薄膜在预防神经外科手术部位感染效果研究[J].中国感染控制杂志,2015,(6):389-392,4.
