中国感染控制杂志Issue(1)：34-37,4.DOI:10.3969/j.issn.1671-9638.2016.01.008
颅脑手术患者医院感染危险因素
Risk factors for healthcare-associated infection in patients undergoing craniocerebral operation
摘要
Abstract
Objective To explore risk factors for healthcare-associated infection (HAI)in patients undergoing craniocerebral operation,and provide guidance for the prevention of HAI in patients in department of neurosurgery. Methods 200 patients who underwent craniocerebral operation in a department of neurosurgery from November 2013 to November 2014 were surveyed,risk factors for HAI were analyzed.Results Among 200 patients undergo-ing craniocerebral operation,81 patients developed 99 cases of HAI,HAI rate was 40.50%,HAI case rate was 49.50%;the top five HAI sites were lower respiratory tract,urinary tract,intracranial site,bloodstream,and in-testinal tract.Univariate analysis showed that patients’age ≥60,Glasgow Coma Scale (GCS)<15,intraoperative blood loss ≥800 mL,staying in intensive care unit(ICU),indwelling gastric tube,ventricular drainage,using ventilator,tracheotomy,and using H2 receptor antagonists were important risk factors for HAI in patients undergo-ing craniocerebral operation (all P <0.05).Multivariate logistic regression analysis showed that patients’age ≥60, GCS<15,staying in ICU,and using H2 receptor antagonists were independent risk factors for HAI in patients un-dergoing craniocerebral operation.Conclusion Strengthening the surveillance of HAI patients undergoing cranioce-rebral operation and realizing risk factors for HAI are helpful for taking comprehensive prevention measures and re-ducing the incidence of HAI.关键词
神经外科/颅脑手术/医院感染/危险因素Key words
neurosurgery/craniocerebral operation/healthcare-associated infection/risk factor分类
医药卫生引用本文复制引用
陈幼华,罗晋卿,蔡永林,余永铭..颅脑手术患者医院感染危险因素[J].中国感染控制杂志,2016,(1):34-37,4.基金项目
梧州市科技计划项目 （）
