神经外科手术患者医院感染分析

Risk factors of hospital infections in neurosurgery patients

目的探讨神经外科手术患者医院感染发生特点和相关危险因素,为预防与控制医院感染提供参考。方法对我院神经外科2009-01—2011-12收治的505例颅脑手术患者的临床资料进行分析。结果 505例手术患者中发生医院感染81例,感染率为16.04%,医院感染90例次,例次感染率17.82%;以呼吸道感染最多,占56.67%,其次为手术部位感染,占23.33%;有侵入性操作患者医院感染发生率20.58%,术者为副主任医师及以上者手术部位感染率3.68%,其他职称者18.75%。结论侵入性操作、手术医生的手术技巧及无菌观念与神经外科手术患者医院感染的发生相关,需采取综合干预措施降低医院感染发病率。

Objective To investigate the characters and risk factors of hospital infections in neurosurgical patients,and provide references for the prevention and control hospital infections.Methods The clinical data of 505 brain surgery cases were analyzed from January 2009 to December 2011.Results There were 81 hospital infection（16.04%） and 90 cases with hospital infection（17.82%） in 505 cases respectively.The respiratory tract infection was the primary（56.67%）;the surgical site infection was secondary.The infection rate with invasive practices was 20.58%,the SSI rate of the surgeries operated by associate chief physicians was 3.68% and which was 18.75% by the others.Conclusion Invasive practices,the surgical skills of surgeons and sterile concept are related to hospital infection of neurosurgical patients,and need to adopt comprehensive interventions to reduce hospital infection rate.