5例神经外科患者手术部位感染原因分析.pdfVIP

医源性感染 Hospital Acquired Infection 5例神经外科患者手术部位感染原因分析 程宗燕 向钱 [ 摘 要 ] 目的 ：探讨引起短期多例神经外科患者手术部位感染的可能原因。方法 ：回顾 2013 年 2 月 1 日至 3 月 15 日所 有神经外科手术患者资料，进行相关暴露因素分析，探讨可能引起手术部位感染的危险因素。结果 ：“第五手术间” OR=4.07 （95%CI=0.52 ～36.65），第五手术 间环境微生物采样 除麻醉剂袖带菌落总数超标以外均符合 国家要求 ；各 “手术主刀医 生”“手术参 与者”的手术部位感染专率 较神经外科手术部位平均感染率 均无差异 （P0.05）；“二次手术”OR=18.00 （95%CI=2.00 ～180.00）。结论 ：“二次手术”是此次短期多例神经外科患者手术部位感染的高危因素 ；对其干预措施可由此入手， 进一步探讨。 [ 关键词 ] 神经外科 ；手术部位感染 ；危险因素 [ 中图分类号 ] R197.3 [DOI] 10.3969/j.issn.1672-1756.2014.06.024 The causes analysis of surgical site infection in 5 neurosurgical patients / CHENG Zongyan, XIANG Qian // Operating Room, Sichuan Provincial Peoples Hospital, Chengdu, 610072 China /// Chinese Nursing Management-2014,14(6): 632-634 [Abstract] Objective: To investigate the possible causes of surgical site infection (SSI) in neurosurgical patients. Methods: Reviewed all the neurosurgical patients data from February 1 to March 15, 2013, and conducted a case-control study to analyze the possible SSIs risk factors. Results: The fifth operating room OR=4.07 (95% CI=0.52~36.65). The environmental microbiological samples of the fifth operating room consisted with national requirements except anesthetic cuff. Each surgery surgeon and each surgical participant special surgical site infection rates were not significant different (P0.05) respectively compared with the average neurological surgical site infection rate. The second surgery OR=18.00 (95% CI=2.00~180.00). Conclusion: The second surgery was the key risk factor for SSI of neurosurgical patients. Thus the interventions could be started to explore further. [Key words] Neurosurgery Department; surgical site infection; risk factor 手术部 位 感 染 (SSI) 是 指手术后 1.2 分析方法 及两次以上手术的情况。 30d （有植入物 1年）内发生在外科手 此次报告称多例手术部位感染患者 1.4 统计学方法 术部位 的感染，包括切 口浅部感染、