The risk factors of nosocomial infection in severe craniocerebral trauma.
OBJECTIVE
To explore the risk factors of nosocomial infection in severe craniocerebral trauma and the way of prevention.


METHODS
The clinical data of 387 patients with severe craniocerebral trauma were reviewed.


RESULTS
The total nosocomial infection rate of this study was 22.99%. Pulmonary nosocomial infection presented most frequently. The G-bacilli were the most common infectious bacteria. The mortality rate of the infection group was 38.20%.


CONCLUSIONS
Complications of nosocomial infection affect the prognosis of craniocerebral trauma patients. Nosocomial infection is related to the age of the patients, craniocerebral trauma severity, unreasonable utilization of antibiotics and invasive operations, such as tracheal cannula, mechanical ventilation, urethral catheterization and deep venous catheterization. Patients with severe craniocerebral trauma should be carefully treated and nursed to avoid nosocomial infection. In order to reduce the rate of nosocomial infection, intensive measurement should be adopted.
Yang
Zhen-ming
ZM
Department of Neurosurgery, No2 Hospital of Fujian Medical University, Quanzhou 362000, China. yzm0088@sina.com
Li
Ya-song
YS
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001930:Brain Injuries / Q000150:complications* / Q000382:microbiology*; D002648:Child; D002675:Child, Preschool; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology / Q000517:prevention & control; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors