Risk factors and clinical analysis of intracranial infection after craniotomy
10.3760/cma.j.issn.1008-6315.2014.11.021
- VernacularTitle:神经外科术后颅内感染的临床分析
- Author:
Zhiqiang XIAO
- Publication Type:Journal Article
- Keywords:
Craniotomy;
Intracranial infection;
Risk factors
- From:
Clinical Medicine of China
2014;30(11):1187-1189
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate pathogenic factors,prevention approaches and therapeutic methods of neurosurgical postoperative intracranial infection.Methods A total of 89 cases were selected as our subjects from 1432 cases ho had received neurosurgical operation in the First People's Hospital of Shangqiu from April 2009 to April 2012.The clinical data of 89 cases with intracranial infection were retrospectively analyzed.Chisquare test was selected to analyze the factors which might cause infection.Effect of decision criteria was chosen to evaluate the cure effect.Results The infection rate was related to the approach to the post fossa,operation periods above 4 h,ventricular drainage,long indwelling drainage and cerebrospinal fluid (CSF) leakage (P ＜0.05 or P ＜0.01).However,the infection rate was not related to age,sex and application of antibiotics before the operation (P ＞0.05).As to effects,73 cases (82.02％) were cured,and 7 cases (7.87％) were showed sort of effects,as well as 8 cases(8.99％) were improved a little and 1 case(1.12％) with invalid.Conclusion It is important to adopt appropriate operation method,by decreasing operation time,preventing drainage from pollution carefully in order to prevent and decrease the intracranial infection after craniotomy,prevention CSF leakage and proper treatment could effectively cure intracranial infection.
