Pathogenic characteristics and risk factors of hospital infection in patients undergoing intracranial aneurysm clipping surgery
Objective:Investigate the hospital infection status of patients undergoing aneurysm clipping surgery and analyze the risk factors related to hospital infection.Methods:The clinical data of 282 patients who underwent intracranial aneurysm clip-ping surgery in Neurosurgery department of a tertiary A-level general hospital from January 1,2019 to December 31,2021 were retrospectively investigated,and their clinical data were analyzed by single factor and multi factor analysis.Results:The incidence of hospital infection in 282 patients undergoing aneurysm clipping surgery was 21.63%,and the incidence of hospital infection cases was 24.11%.Univariate analysis showed that age,aneurysm rupture,preoperative GCS score,preoperative HH score,invasive operation,admission to ICU after surgery,length of hospital stay,Deep vein thrombosis,retention time of head drainage tube,and duration of surgery had significant effects on hospital infection in patients undergoing aneurysm clip-ping surgery,with statistical differences(P＜0.05);Multivariate analysis showed that admission to ICU,age over 65,Lum-bar puncture and lumbar cistern drainage were independent risk factors for nosocomial infection in patients undergoing aneurysm clipping surgery.Conclusion:The incidence of hospital infection in patients undergoing aneurysm clipping surgery is high,and the occurrence of infection is the result of multiple factors working together.Among them,admission to ICU,age over 65,Lumbar puncture and lumbar cistern drainage are independent risk factors for hospital infection in patients undergoing aneurysm clipping surgery.
Aneurysmcraniotomy and clipping surgeryhospital infectionpathogenic bacteria
万方数据
维普
