Analysis of risk factors of affecting intracranial infection complicating brain injury operation
10.3760/cma.j.issn.1671-8925.2006.05.018
- VernacularTitle:影响颅脑外伤术后颅内感染的危险因素分析
- Author:
Shen HU
1
;
Jia-Yong YANG
;
Xue-Zhong WEI
;
Wei-Xin FU
;
Ya-Ding YUE
Author Information
1. Shenzhen Sixth People's Hospital
- Keywords:
Craniocerebral injury;
Postoperative infection;
Risk factor
- From:
Chinese Journal of Neuromedicine
2006;5(5):498-502
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the risk factors attributing intracranial infection following brain injury operation. Methods Difference factors between intracranial infection group and non-infection group following brain injury operations were compared by retrospective analysis. Results Involved in the study were 770 cases in non-infective group and 142 cases (15.6%) in infective group, with the types of infection including nonbacterial meningitis, bacterial meningitis, cerebral ventriclitis and ventrical pus accumulation, cerebral abscess, subdural pus accumulation, subcutaneous or/and subskull flap pus accumulation or osteomyelitis, and incision infections. The rate of bacterial detection was 27.5%.Postoperative infections following brain injury surgery were related to hotter weather, advanced age of patients, severity of traumatic state, multiple operations in short time, successive or double-lateral craniotomies, long-time (>5 h) operation, microsurgery, operation on skull base or postfossa, cerebral ventricle draining, subcutaneous or epidural hydrops, and emergency operation(P<0.05). Conclusion It should be given more attention and prophylactic treatments for the brain injury with infective risk factors mentioned above.