Investigation and analysis on 142 cases of nosocomial infection in neurosurgical inpatients

JIANG Xin; HUANG Shan-zhan; GAN Zheng-duan

doi:10.3969/j.issn.1674-3806.2015.02.15

Abstract：Objective To investigate the hospital infection status of neurosurgery inpatients, discuss the risk factors and characteristics of infection, and to provide scientific basis for prevention and control of hospital infections. Methods 1 283 neurosurgical inpatients with nosocomial infection were analyzed retrospectivly from Jan.2012 to Dec.2013.Results 142 case-times of the nosocomial infections were founde in 1 283 patients.The case-time infec-tion rate was 11.1%.The main sites of neurosurgical nosocomial infection were lower respiratory tract,followed by u-rinary tract infection.The predominant pathogens were gram-negative bacterial,accounting for 78.2%, gram-positive cocci accounting for 16.4%,and fungi accounting for 5.4%, most distribution of 4 species of pathogens were Kleb-siella pneumoniae,Pseudomonas aeruginosa,Escherichia coli and Staphylococcus aureus.The main risk factors of hospi-tal infections were age,hospitalization duration,the extent of coma,low immune function and aggressive procedure(P<0.05).Conclusion The incidence of nosocomial infections is high in neurosurgery departments.In orther to reduce the incidence of nosocomial infection neurosurgery, it is necessary to take positive and effective prevention measures, strengthen the control and management according to the risk factors.