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影响神经外科伤口感染发生率的因素

Factors affecting the incidence of wound infection in Neurosurgery.

作者信息

Quadery L A, Medlery A V, Miles J

出版信息

Acta Neurochir (Wien). 1977;39(3-4):133-41. doi: 10.1007/BF01406722.

DOI:10.1007/BF01406722
PMID:602846
Abstract

A prospective survey of wound infection in a continuous series of 357 patients undergoing operations at a neurosurgical unit was made. The incidence of wound infection was 4.7 percent. Causative organisms were isolated in only 29.4 percent of the clinically infected cases. The type of suture material used did not affect the infection rate and neither did the coincidental use of steroids in the high doses employed in neurosurgical practice. Re-exploration does not carry an increased risk of infection. Use of systemic or topical antibiotics or both was not found to confer any protection against wound infection.

摘要

对某神经外科单元连续357例接受手术患者的伤口感染情况进行了前瞻性调查。伤口感染发生率为4.7%。仅在29.4%的临床感染病例中分离出了致病微生物。所用缝合材料的类型并未影响感染率,神经外科实践中使用的高剂量类固醇同时使用也未产生影响。再次探查并不会增加感染风险。未发现使用全身性或局部性抗生素或两者同时使用能对伤口感染起到任何预防作用。

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1
Factors affecting the incidence of wound infection in Neurosurgery.影响神经外科伤口感染发生率的因素
Acta Neurochir (Wien). 1977;39(3-4):133-41. doi: 10.1007/BF01406722.
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本文引用的文献

1
Penicillin in the prevention of infection during operations on the brain and spinal cord.青霉素在预防脑和脊髓手术期间感染中的应用
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STUDIES OF THE EPIDEMIOLOGY OF STAPHYLOCOCCAL INFECTION. 8. SEASONAL VARIATION.葡萄球菌感染的流行病学研究。8. 季节变化
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Staphylococal infection of operation wounds with special reference to topical antibiotic prophylaxis.手术伤口的葡萄球菌感染,特别提及局部抗生素预防
神经外科感染:对1143例患者和1517台手术的回顾性研究
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4
Incidence of wound infection in patients undergoing craniotomy: influence of type of shaving.开颅手术患者伤口感染的发生率:备皮方式的影响
Acta Neurochir (Wien). 1987;86(3-4):79-82. doi: 10.1007/BF01402288.
5
Antibiotic prophylaxis in neurosurgery. Study comparing two groups of patients with and without treatment.神经外科手术中的抗生素预防。比较两组接受治疗和未接受治疗患者的研究。
Acta Neurochir (Wien). 1987;86(3-4):75-8. doi: 10.1007/BF01402287.
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Risk factors in postoperative neurosurgical infection. A prospective study.神经外科术后感染的危险因素。一项前瞻性研究。
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A survey of possible etiologic agents in postoperative craniotomy infections.开颅术后感染可能病因的调查。
J Neurosurg. 1966 Aug;25(2):125-32. doi: 10.3171/jns.1966.25.2.0125.
5
Wounds and their problems.伤口及其问题。
J R Coll Surg Edinb. 1975 Mar;20(2):77-95.