中国实用神经疾病杂志2017，Vol.20Issue(9)：26-29,4.
后颅窝术后颅内感染多重耐药鲍曼不动杆菌的临床分析及护理体会
Clinical analysis and nursing experience of multi-drug resistant Acinetobacter baumannii in intracranial infection after posterior fossa craniotomy
摘要
Abstract
Objective To introduce the clinical features and the related nursing experience of multi-drug resistant Acinetobacter baumannii(MDR-AB)in intracranial infection after posterior fossa craniotomy,in order to provide clinical experiences for subsequent treatment and nursing.Methods We retrospectively analyzed the clinical data of four cases with MDR-AB in intracranial infection complicated with posterior fossa craniotomy from January 2012 to July 2014.Then we summarized the therapeutic and nursing experiences.Results All patients completely cured after comprehensive treatment and related nursing interventions performed.The curative rate was 100%.Conclusion Because posterior fossa surgery may be easily complicated with intracranial infection,preventions and nursing cares are the key.Once MDR-AB in intracranial infection occurred,after isolating and culturing bacteria strains of CSF and then performing strain identification and susceptibility test,we should carry out intrathecal and intravenous antibiotics sensitive to the causative organism as well as hormone,nutritional support and other therapeutic measures based on continuous drainage of cerebrospinal fluid(CSF)from lumber pool.Simultaneously,it is universally important that underlining hand hygiene of medical staff,isolating infectious patients,strengthening microbiological detection,thoroughly disinfecting environment,adopting related nursing measures and enhancing infection management can improve curative rate.关键词
后颅窝手术/鲍曼不动杆菌/多重耐药/防治措施/护理Key words
Posterior fossa craniotomy/Acinetobacter baumannii/Multi-drug resistant/Prevention and control/Nursing分类
医药卫生引用本文复制引用
朱琳,杨兴菊,亓爱红,刘振瑞,潘强,宋纯玉,刁兴涛,刘聪聪..后颅窝术后颅内感染多重耐药鲍曼不动杆菌的临床分析及护理体会[J].中国实用神经疾病杂志,2017,20(9):26-29,4.基金项目
泰山医学院附属莱芜医院科研资助项目(YYLX2013016,YYLX2013019,YYLX2014011) （YYLX2013016,YYLX2013019,YYLX2014011）
