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目的分析神经外科颅脑手术医院感染的发病情况及其相关影响因素。探讨预防及控制对策。方法对2006年1月～2006年9月,收治的190例神经外科颅脑手术患者进行医院感染调查,用Logistic回归分析方法找出影响感染的主要危险因素。结果颅脑手术医院感染的例次发生率为31.05%;感染部位前三者是颅内感染、上呼吸道感染和肺部感染,分别占35.59%、28.81%和22.03%。Logistic回归分析显示感染的主要危险因素为抗菌药物使用天数、ICU住院天数、术前住院天数、年龄、瘤腔引流管和脑室引流管。结论神经外科颅脑手术医院感染率较高。应重视颅脑手术医院感染的预防与控制。针对不同的危险因素采取相应的预防措施可减少术后感染的发生,如合理使用抗菌药、缩短围手术期抗菌药物使用时间、减少ICU留置时间及术前住院时间、尽量避免或缩短各种管道的留置等措施将有利于感染的控制。
Objective To analyze the incidence of nosocomial infection in neurosurgical craniocerebral surgery and its related factors. Discuss prevention and control measures. Methods From January 2006 to September 2006, 190 cases of neurosurgical craniocerebral surgery admitted to our hospital were investigated for nosocomial infection. Logistic regression analysis was used to identify the main risk factors affecting the infection. Results The incidence of nosocomial infection in craniocerebral operation was 31.05%. The top three sites of infection were intracranial infection, upper respiratory tract infection and pulmonary infection, accounting for 35.59%, 28.81% and 22.03% respectively. Logistic regression analysis showed that the main risk factors for infection were antibiotic days, ICU days of hospitalization, days of preoperative hospitalization, age, tumor drainage tube and ventricular drainage tube. Conclusion Neurosurgical craniocerebral surgery hospital infection rate is higher. Should pay attention to the prevention and control of brain surgery hospital infection. Take appropriate preventive measures against different risk factors can reduce the incidence of postoperative infection, such as the rational use of antimicrobial agents, shorten the perioperative antibacterial drug use time, reduce ICU indwelling time and preoperative hospital stay, try to avoid or shorten the pipeline The indwelling and other measures will be conducive to infection control.