Related risk factors of incisional wound infection in patients under craniectomy
10.3760/cma.j.issn.1671-8925.2015.06.017
- VernacularTitle:神经外科手术患者切口感染相关因素的探讨
- Author:
Peixuan ZHOU
1
;
Xiangrong CHEN
;
Junyan CHEN
;
Guocheng CHU
;
Caizhu SU
Author Information
1. 福建医科大学附属第二医院手术室
- Keywords:
Craniectomy;
Incisional wound infection;
Risk factor
- From:
Chinese Journal of Neuromedicine
2015;14(6):623-626
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors of incisional wound infection and put forward prevention measures to control the incision infection in patients under craniectomy.Methods Seventy patients with infection and 70 without infection of incisional wound among 1756 patients undergoing craniectomy from January 2011 to December 2013 were chosen in our study;and their clinical data were retrospective analyzed;etiological examination was performed on the secreta of these patients;the high risk factors of incisional wound infection were analyzed using multivariable Logistic regression.Results As compared with those in the non-infection group,patients in the infection group had significantly older age,lower albumin and Glasgow coma scale (GCS) scores,higher blood glucose level and APACHE Ⅱ scores,and higher percentages of surgical access station,microscopy applications,duration of surgery＞4 h and blood transfusion (P＜0.05).Pathogenic bacteria was positive in 88.57％ patients (62/70),including 45.71％ gram negative bacilli,40.00 ％ gram positive coccus and 2.86％ fungus.Multivariate Logistic regression analysis further showed that albumin,blood glucose,microscopy applications,duration of surgery＞4 h,blood transfusion,APACHE Ⅱ scores and GCS scores were significantly associated with incision infection,being the independent risk factors for incision infection.Conclusions To aim directly at the high-risk factors of incision wound infection,such as albumin,blood glucose,microscopy applications,duration of surgery,blood transfusion,APACHE Ⅱ and GCS,we should develop reasonable and effective preventive measures to reduce the incidence of incision infection and improve patient prognosis.
