摘要
目的了解某三甲医院神经外科不同类型手术医院感染发生情况,为神经外科手术相关医院感染监测与防控提供思路和依据。方法回顾性调查2016年1月1日—2018年12月31日该三甲医院神经外科手术患者的手术相关感染信息。结果共调查6688例神经外科手术患者,医院感染发生率为8.22%,其中手术部位感染(SSI)发生率最高(5.40%),其次是手术后肺炎(POP,1.91%)。不同类型手术后的医院感染、SSI、POP、其他部位感染、器官腔隙感染发生率的差异均有统计学意义(均P<0.05),其中颅内肿瘤切除手术和颅内血管介入手术的医院感染(11.35%和8.46%)、器官腔隙感染(7.39%和4.01%)的发生率较高。不同颅内肿瘤切除术后医院感染、SSI、POP、器官腔隙感染发生率的差异均有统计学意义(均P<0.05),其中神经上皮来源肿瘤和颅咽管瘤的医院感染(23.19%和20.79%)、器官腔隙感染(17.27%和12.87%)的发生率较高。脑脊液共分离病原菌74株,其中革兰阳性菌54株,革兰阴性菌19株,真菌1株。结论神经外科不同类型手术医院感染发生率差异较大,在资源有限的情况下,医院感染监测工作可将重点放在医院感染发生率高的手术类型中。
Objective To investigate the occurrence of healthcare-associated infection(HAI)after different types of neurosurgical operations in a tertiary first-class hospital,and provide ideas and basis for the monitoring,prevention and control of neurosurgery-related HAI.Methods Neurosurgery-related information of patients in department of neurosurgery of this hospital from January 1,2016 to December 31,2018 were analyzed retrospectively.Results A total of 6688 neurosurgical patients were investigated,incidence of HAI was 8.22%,incidence of surgical site infection(SSI)was the highest(5.40%),followed by postoperative pneumonia(POP,1.91%).There were significant differences in the incidence of HAI,SSI,POP,other site infection and organ cavity infection among diffe-rent types of operations(all P<0.05),after intracranial tumor resection and intracranial vascular intervention,incidence of HAI(11.35%and 8.46%respectively)and organ cavity infection(7.39%and 4.01%respectively)were higher.There were significant differences in the incidence of HAI,SSI,POP,and organ cavity infection among different types of intracranial tumor resection(all P<0.05),after neuroepithelial tumors and craniopharyngioma operation,incidence of HAI(23.19%and 20.79%respectively)and organ cavity infection(17.27%and 12.87%respectively)were higher.74 strains of pathogens were isolated from cerebrospinal fluid,including 54 strains of Gram-positive bacteria,19 strains of Gram-negative bacteria and 1 strain of fungus.Conclusion Incidence of HAI in different types of neurosurgical operation is quite different,in the case of limited resources,the monitoring of HAI needs to be focused on the surgical types with high incidence of HAI.
作者
李兰兰
杜明梅
覃金爱
LI Lan-lan;DU Ming-mei;QIN Jin-ai(Department of Healthcare-associated Infection Management,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;Department of Disease Prevention and Control,Chinese PLA General Hospital,Beijing 100853,China)
出处
《中国感染控制杂志》
CAS
CSCD
北大核心
2020年第11期971-975,共5页
Chinese Journal of Infection Control
关键词
神经外科
医院感染
手术部位感染
手术后肺炎
neurosurgery
healthcare-associated infection
surgical site infection
postoperative pneumonia
