中国感染控制杂志2016，Vol.15Issue(8)：592-594,3.DOI:10.3969/j.issn.1671-9638.2016.08.013
神经外科颅内肿瘤切除术后患者医院感染危险因素
Risk factors for postoperative healthcare-associated infection in neurosur-gical patients undergoing intracranial tumor removal
摘要
Abstract
Objective To investigate the occurrence of postoperative healthcare-associated infection(HAI)and its risk factors in neurosurgical patients undergoing removal of intracranial tumor,so as to provide theoretical basis for formulating intervention measures.Methods Prospective survey was adopted to monitor the occurrence of postoperative HAI in patients who admitted to the department of neurosurgery of a hospital and underwent selective removal of intracranial tumor between April 2013 and December 2014 ,risk factors for HAI were analyzed with univariate and multivariate logistic regression analysis.Results A total of 1 218 patients were surveyed,163 patents developed 193 times of postoperative HAI,inci-dence of postoperative HAI was 13.38%,case incidence of HAI was 15.85%.The main HAI site was intracranial site(n=125,64.77%),the next was lower respiratory tract (n=55,28.49%).Multivariate logistic regression analysis showed that operation grade and subtentorial operation were independent risk factors for postoperative HAI in neurosurgical patients undergoing removal of intracranial tumor,OR and 95%CI were 4.352(1.878-10.080)and 1.812(1.280-2.564)respec-tively.Conclusion Risk of postoperative HAI in neurosurgical patients undergoing high grade operation and subtentorial removal of intracranial tumor is high,effective prevention and control measures should be taken to prevent the occurrence of HAI.关键词
神经外科/颅内肿瘤/手术后/医院感染/危险因素Key words
neurosurgery/intracranial tumor/postoperation/healthcare-associated infection/risk factor分类
医药卫生引用本文复制引用
周芸,唐素琴,邓琼,曹先伟..神经外科颅内肿瘤切除术后患者医院感染危险因素[J].中国感染控制杂志,2016,15(8):592-594,3.基金项目
江西省卫生厅科技计划 （）
