世居高原开颅手术后患者医院感染的相关因素分析

doi:10.3969/j.issn.1671-7171.2019.03.012

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Abstract 【Objective】To analyze the related factors of nosocomial infection after craniotomy in patients living at high altitude. 【Methods】The clinical data of 227 patients undergoing craniotomy due to trauma, tumors and other intracranial diseases from July 2010 to July 2018 were retrospectively analyzed. The incidence of nosocomial infection, types of infection and distribution of pathogenic bacteria were analyzed. The general clinical data of patients were compared. Logistic multivariate regression analysis was used to analyze the related factors affecting nosocomial infection of patients. The clinical preventive measures were summarized.【Results】Of the 227 patients, 59 had nosocomial infection after craniotomy, the incidence was 25.99%. The main site of infection was in the lungs (45.76%), followed by intracranial infection (30.51%). A total of 77 strains of pathogenic bacteria were detected in 59 patients. Acinetobacter baumannii was the main pathogen (44.16%), followed by Staphylococcus epidermidis (19.48%). Logistic multivariate regression analysis showed that age > 50 years old, operation time (≥4 hours), open injury and extubation time (≥3 hours) were independent risk factors for nosocomial infection after craniotomy in plateau patients (P<0.05).【Conclusion】The incidence of nosocomial infection after craniotomy in patients in plateau area is high and the influencing factors are complex. The key to prevent nosocomial infection and improve the safety of neurosurgery is to pay attention to the evaluation of high-risk patients, implement debridement, aseptic operation, perioperative management and targeted nursing.

Key words： Craniotomy/AE Population Characteristics

Received: 11 January 2019

PACS:

R651.1

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	WANG Jun
	LIU Jun-feng
	LI Chang-tai

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WANG Jun,LIU Jun-feng,LI Chang-tai. Analysis of Related Factors of Nosocomial Infection in Patients after Craniotomy at High Altitude[J]. JOURNAL OF CLINICAL RESEARCH, 2019, 36(3): 451-454.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2019.03.012 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2019/V36/I3/451

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