The analysis about relevant risk factors of postoperative infection in patients of neurosurgery department with surgeries
10.3760/cma.j.issn.1672-7088.2017.28.003
- VernacularTitle:神经外科手术患者术后感染的危险因素分析及对策
- Author:
Yingjun MA
1
;
Hong PAN
;
Dan ZHOU
Author Information
1. 214023,南京医科大学附属无锡市人民医院NICU
- Keywords:
Neurosurgical procedures;
Infection;
Risk factor
- From:
Chinese Journal of Practical Nursing
2017;33(28):2172-2175
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the incidence and risk factors of infection in neurosurgical patients in Wuxi people′s hospital,and to provide reference for the prevention of postoperative infection. Methods A total of 53 patients with postoperative infection were collected.The design method of one to three matching case-control study was used controlling age,sex and neurosurgical disease.The risk factors of infection were analyzed by retrospective analysis. Results Among 212 patients, 53 developed infections, the incidence rate was 25.0%(53/212). Respiratory tract infection was the main type of infection (60.4%,32/53).Patients with high blood glucose, high white blood cells, high hemoglobin, preoperative antibiotics in the infection group(t/χ2=3.486, 2.966, 2.196, 30.24, P<0.05). Patients in the infection group had emergency operation,long operation time,intra-operative blood loss,intra-operative blood transfusion(U/χ2=26.39,2.585,3.409,9.792,P<0.05).The infection group patients with postoperative use of antibiotics more than 2 kinds, long hospitalization, The difference between the two groups was statistically significant (U/χ2=85.53, 5.810,P<0.05). Further Logistic regression analysis showed that preoperative high blood sugar, intraoperative blood loss, operative duration and hospitalization time were the risk factors of nosocomial infection. Conclusion Risk factors for infection in department of neurosurgery are multiple and targeted interventions should be taken to reduce postoperative infection rate.
