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目的:探讨引起短期多例神经外科患者手术部位感染的可能原因。方法:回顾2013年2月1日至3月15日所有神经外科手术患者资料,进行相关暴露因素分析,探讨可能引起手术部位感染的危险因素。结果:“第五手术间”OR=4.07(95%CI=0.52~36.65),第五手术间环境微生物采样除麻醉剂袖带菌落总数超标以外均符合国家要求;各“手术主刀医生”“手术参与者”的手术部位感染专率较神经外科手术部位平均感染率均无差异(P>0.05);“二次手术”OR=18.00(95%CI=2.00~180.00)。结论:“二次手术”是此次短期多例神经外科患者手术部位感染的高危因素;对其干预措施可由此入手,进一步探讨。
Objective: To investigate the possible causes of surgical site infections in short-term multi-modality neurosurgical patients. Methods: The data of all patients with neurosurgery from February 1 to March 15, 2013 were retrospectively analyzed, and the related exposure factors were analyzed to explore the possible risk factors of infection at the surgical site. Results: The OR of the fifth surgery was 4.07 (95% CI = 0.52 ~ 36.65). The environmental microbiological sampling of the fifth surgery was in compliance with the national requirements except for the total number of cuff colonies. Each of the surgeon There was no significant difference in the infection rate of the surgical site between the two groups (P> 0.05). The second operation was OR = 18.00 (95% CI = 2.00-180.00) . Conclusion: The second surgery is the risk factor for the surgical site infection in the short-term multi-modality neurosurgical patients. The intervention measures can be taken to further explore.