摘要
目的了解老年神经外科术后手术部位感染(SSI)情况及相关因素,为有效控制SSI提供依据.方法采用前瞻性和回顾性相结合的方法,对我院2001～2003年神经外科接受手术治疗的＞60岁患者1 091例的临床及实验室资料进行调查.结果 SSI发生率为7.4%,其中浅部感染34.6%,深部感染65.4%;检出的感染病原菌依次为金葡菌、大肠埃希菌、表皮葡萄球菌、铜绿假单胞菌等,与SSI相关的危险因素有:术前住院时间、手术持续时间和急诊手术,患2种及以上慢性病、颅内置管引流、术后昏迷、脑脊液(CSF)漏、术后再次手术及Ⅱ、Ⅲ类切口等.结论老年神经外科SSI发生率较高,应引起医务人员高度重视.
Objective To investigate the incidence and risk factors of surgical site infections (SSI) after neurosurgery in elderly, and to provide the scientific reference for prevention. Methods Correlative clinical and laboratory data of 1 091 patients aged over 60 years undergoing neurosurgery were prospectively and retrospectively investigated from 2001 to 2003. Results The overall SSI rate of neurosurgery was 7.4%, and 34.6% of SSI were superficial infections, while 65.4% were deep ones. S. aureus was the most common, and followed by E.coli, S.epidernidis, P. aeruginosa, respectively. The risk factors associated with SSI were as follows:hospitalization before surgery, surgical duration and emergency surgery, having 2 or more kinds of chronic diseases, external cerebrospinal fluid drainage, postoperative coma, cerebrospinal fluid leakage, subsequent operation and Ⅱ,Ⅲ incision. Conclusions The SSI rate after neurosurgery in elderly was significantly higher, which should be emphasized by medical workers.
出处
《实用老年医学》
CAS
2005年第1期32-34,共3页
Practical Geriatrics
关键词
神经外科手术
外科伤口感染
老年人
Neurosurgical procedures
Surgical wound infection
Aged
