颅内肿瘤患者术后医院感染的临床分析  

Clinical analysis of nosocomial infection in patients after intracranial tumorectomy

作　　者：周艳华[1] 欧阳立志[1] 杨向东[1] 伍俊玲[1] 

机构地区：[1]湖南省肿瘤医院感染科,湖南长沙410013

出　　处：《中华医院感染学杂志》2011年第20期4225-4226,共2页Chinese Journal of Nosocomiology

摘　　要：目的了解颅内肿瘤患者术后医院感染的临床特点、危险因素及预防治疗措施。方法对2006年1月-2009年12月神经外科收治的306例颅内肿瘤患者术后进行回顾性调查分析。结果 306例颅内肿瘤患者术后发生医院感染22例,感染率7.19%;感染部位以颅内感染为主,占46.15%,其次为切口感染,占23.08%;病原菌以革兰阴性菌为主,铜绿假单胞菌占23.81%。结论颅内肿瘤患者术后医院感染发生率明显高于其他科室,手术时间长、侵入性操作、术中植入物使用、抗菌药物的应用等是医院感染的危险因素。OBJECTIVE To study the clinical features and risk factors and treatment of nosocomial infection after brain tumorectomy.METHODS A retrospectively analysis of 306 cases after brain tumorectomy in neurosurgery ward from Jan 2006 to Dec 2009 was performed.RESULTS Totally 22 cases of patients in 306 cases caught the hospital infection（7.19%）.The main infection site was intracranial infections（46.15%）,followed by surgical wound infection（23.08%）.The main bacteria were Gram-negative bacteria.Pseudomonas aeruginosa was the major pathogen causing intracranial infections（23.81%）.CONCLUSION Nosocomial infection after brain tumorectomy is obviously higher than that of other departments.The risk factors associated with nosocomial infection are as follows： long operation time,invasive operation,use of implants and antibacterials.

关 键 词：颅脑手术 医院感染 临床分析 

分 类 号：R181.32[医药卫生—流行病学]