神经外科手术患者医院感染目标性监测及感染相关危险因素分析

目的研究神经外科手术患者医院感染危险因素,为制定医院感染控制措施提供理论依据。方法采用目标性监测方法,对神经外科手术后患者医院感染率及相关危险因素进行调查。结果267例神经外科手术患者共发生医院感染100例(37.45%),136例次(50.94%);住院时间>30 d,手术时间>2 h,意识障碍,脑室外引流,气管切开是其医院感染重要危险因素。结论神经外科手术患者医院感染危险因素多,需采取综合措施才能有效控制医院感染。

Targeted surveillance and risk factor analysis on nosocomial infection in neurosurgical operated patients

Objective To investigate the risk factors of nosocomial infection(NI) in patients after neurosurgical operation,and provide the theoretical bases for making the controlling measures of NI.Methods Using the targeted monitoring method to survey NI rate and the related risk factors.Results One hundred of 267((37.45%)) neurosurgical operated patients occurred 136 cases((50.94%)) NI,the important risk factors of NI in patients after neurosurgical operation included length of hospital stay more than 30 days,operation time more than 2 hours,consciousness disturbance,ventricular drainage and tracheotomy.Conclusion There are many risk factors of NI in neurosurgical patients after operation,comprehensive measures should be taken to control NI.