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目的调查我国19家军队医院脑胶质瘤与垂体瘤切除术的感染情况、流行病学分布特征,为相关疾病手术部位感染(SSI)的防治提供理论依据。方法对2015年1月-2016年6月19家医院脑部2种特定肿瘤的切除手术进行前瞻性目标性监测,19家医院均采用信息系统收集病人的资料,专职人员床旁观察病人切口情况,术后1月对所有病人进行电话随访。结果 2种手术共纳入3211例,手术部位感染191例,感染率5.95%。其中胶质瘤切除术纳入2068例,手术部位感染161例,感染率7.79%;垂体瘤切除术纳入1143例,手术部位感染30例,感染率2.62%;胶质瘤切除术SSI发病率是垂体瘤切除术的2.97倍,差异有统计学意义(P<0.05);胶质瘤与垂体瘤手术最常见的SSI类型为器官腔隙感染,分别占88.82%与70.00%;出院后电话随访SSI感染占6.28%;脑部肿瘤手术后感染最常见的病原菌为凝固酶阴性葡萄球菌、金黄色葡萄球菌和鲍氏不动杆菌。结论获得我国多中心的脑胶质瘤切除术与垂体瘤切除术的手术部位发病情况的流行病学资料。
Objective To investigate the infection and epidemiological distribution of glioma and pituitary adenoma in 19 military hospitals in our country and provide theoretical basis for prevention and treatment of surgical site infection (SSI) related diseases. Methods From January 2015 to June 2016, we performed prospective and targeted surveillance on the resection of 2 kinds of specific tumors in the brain of 19 hospitals. All 19 hospitals adopted information system to collect the patient’s information. The full-time staff observed bedside incision After January 1, all patients were followed up by phone. Results A total of 3211 cases were included in the two kinds of surgery, 191 cases were infected at the surgical site, and the infection rate was 5.95%. Including glioma resection included 2068 cases, surgical site infection in 161 cases, the infection rate was 7.79%; pituitary tumor resection included 1143 cases, surgical site infection in 30 cases, the infection rate was 2.62%; the incidence of glioma resection SSI is pituitary (P <0.05). The most common type of SSI in glioma and pituitary adenoma was organ lacunar infection, accounting for 88.82% and 70.00%, respectively. The phone was followed up for SSI infection after discharge Accounting for 6.28%; the most common pathogens of brain tumor infection after surgery were coagulase-negative staphylococcus aureus, Staphylococcus aureus and Acinetobacter baumannii. Conclusion Epidemiological data on the incidence of multi-center glioma resection and pituitary tumor resection in China were obtained.