颅脑手术术后医院感染分析

目的分析颅脑手术后患者医院感染的临床特点及其危险因素,探讨预防感染的有效措施.方法回顾性研究我院2001年9月～2004年8月,收治的1488例颅脑手术患者的资料,进行分析.结果 1488例颅脑手术患者发生医院感染92例次,感染率为6.18%,以下呼吸道感染和颅内感染最常见,分别占44.57%和28.26%;高龄、急诊、术前长住院日等是医院感染的危险因素;脑出血患者感染率较高;医院感染的细菌主要是金黄色葡萄球菌和铜绿假单胞菌.结论颅脑手术后医院感染发生率高,危害大,要采取有效措施预防控制医院感染的发生.

Nosocomial Infection after Craniocerebral Operation

OBJECTIVE To analyze the clinical characters and risk factors of nosocomial infection patients with craniocerebral operation. METHODS To study prospectively 1 488 hospitalized patients after craniocerebral (operation) in our hospital from Sep 2001 to Aug 2004. RESULTS Incidence of nosocomial infection was 6.18% in all (1 488) cases. Among them, nosocomial lower respiratory tract infection and intracranial infection were the (highest) (44.57% and 28.26%). Aging, long bed-staytime before operation, etc were risk factors. Incidence of (nosocomial) infection was higher in intracerebral hemorrhage disease patients. The most common pathogens were Staphylococcus aureus (SA) and Pseudomonas aeruginosa (PA). CONCLUSIONS Nosocomial infection is a high frequent complication and it should be paid attention. We must take some measures to control and prevent (nosocomial) infection.