查詢結果分析
相關文獻
- 某醫學中心開顱手術病患院內感染之探討
- 新生兒加護病房的院內感染
- 院內感染與早產兒
- 冠狀動脈繞道手術之手術部位感染危險因子之探討
- 一區域醫院1995至1997年院內感染資料分析
- 醫院內感染和空調
- Acinetobacter Baumannii院內感染之介紹
- Nosocomial Klebsiella pneumoniae Bacteremia: Clinical Features and Antimicrobial Susceptibilities of Isolates
- Nosocomial Gram-Negative Bacteremia in Critically Ill Patients: Epidemiologic Characteristics and Prognostic Factors in 147 Episodes
- 某醫學中心各加護中心院內感染金黃色葡萄球菌之調查
頁籤選單縮合
題 名 | 某醫學中心開顱手術病患院內感染之探討=Surveillance of Nosocomial Infections Follwing Craniotomy at a Medical Center |
---|---|
作 者 | 陳孟娟; 王復德; 劉正義; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 7:2 1997.04[民86.04] |
頁 次 | 頁67-76 |
分類號 | 419.38 |
關鍵詞 | 院內感染; 開顱術; 感染危險指數; Nosocomial infections; Craniotomy; Risk index; |
語 文 | 中文(Chinese) |
英文摘要 | Nosocoial infections related to the central nervous system(CNS)are a relatively unmcommon but important category of hospital-acquired infections. Patients at greatest risk for acquiring nosocomial CNS infections are those receiving neurosurgical procedures. A polot study was performed to evaluate the incidence and distribution of nosocomial infections among patients undergoing craniotomy procedures at a medical center. All infections that developed postoperatively on the neurosurgical service from July, 1995, to June,1996, were identified. The risk index score, ranging from 0 to 3, is the number of risk factors present among the following: (1) an operative wound classified as contaminated or dirty-infected, (2) a patient with an American Society of Anesthesiologists (ASA) preoperative assessment score of 3,4,or 5, and (3) an operation lasting over T hours, where T is the approximate 75th percentile of the duration of surgery for the operative procedures. Totally, 333 of 1,434, neurosurgical patients had craniotomy procedures during that time. Of the 333 cases, 88 nosocomial infections occured for a rate of 26.4%: 44(13.2%) urinary tract infections, 18(5.4%) lower respiratory tract infections, 12(3.6%) bolld stream infections, 7(2.1%) surgical site infections, and 7(2.1%) other site infections. Among the noninfected and infected patients undergong cranitotomy procedures, mean ages were 50.0 ± 18.0 and 61.0 ± 13.8, mean preoperative days were 6.7 ± 10.0 and 2.9 ± 3.8, mean hospital days were 31.0 ± 32.4 and 71 ± 64.6, mean ICU stays were 7.2 ± 7.5 and 18.0 ± 13.2, mean blood loss were 650.1 ± 553.0 and 752.0 ± 566.8 c.c., mean operation time were 435.0 ± 181.5 and 484.0 ± 201.0 minutes, mean coma scales were 12.4 ± 3.9 and 9.6 ± 4.3,respectively. Except for the blood loss and operation time, significant differences (p<0.05)were present between the infected and noninfected patients in age, preoperative days, hospital days, ICU stays, coma scales. The nosocomial infection rates for patient with risk index scores of 0,1,2,3 were 18.6%, 23.8%, 54.3%, 0% (one patient only), respectively. Staphlococcus aureus was the most important nosocomial pathogen and the strains isolated were all resistant to oxacillin. The most frequent site of infection in craniotomy patient was the urinary tract. Overall nosocomial infection rate alone may fail to reveal important regarding the infection site and its relationship with the specific type of surgical procedures. |
本系統中英文摘要資訊取自各篇刊載內容。