SURGICAL SITE INFECTIONS AFTER ELECTIVE NEUROSURGERY

• DOI: 10.1227/01.neu.0000311065.95496.c5
• Publication Date: 2009-03-05T13:48:31Z
• Authors: Laura G. Valentini; Cecilia Casali; Liliane Chatenoud; Francesca Chiaffa...; Caterina Uberti-F...; Giovanni Broggi
• Keywords: Adult; Male; Adolescent; Neurosurgery; Infections; Shunt; Neurosurgical Procedures; 03 medical and health sciences; 0302 clinical medicine; Risk Factors; Confidence Intervals; Humans; Surgical Wound Infection; Child; Aged; Retrospective Studies; Infant, Newborn; Infant; Antibiotic Prophylaxis; Middle Aged; Health Surveys; 3. Good health; Child, Preschool; Equipment Contamination; Female; Spinal surgery; Prophylactic antibiotic; Craniotomy; Surgical site infection

To evaluate the incidence and risk factors of postsurgical site infections (SSIs) in elective neurosurgical procedures patients treated with an ultrashort antibiotic protocol.In this consecutive series 1747 neurosurgery prophylactic therapy at Fondazione Istituto Nazionale Neurologico "Carlo Besta" Milan, rate SSIs was 0.7% (13 patients). When only clean considered, there were 11 such (1.52%) 726 craniotomies one SSI (0.15) 663 spinal operations. The protocol prolonged every case external communication as cerebrospinal fluid leaks or drainages.The infection whole low (0.72%), a factor identified for longer surgery duration. relative estimate 12.6 surgeries lasting 2 hours 24.3 3 more hours. Patients aged older than 50 years had lower developing 0.23 when compared younger years.The present reports neurosurgery, even high-risk complex performed tumor removal. Given that prolongation used to pretreat any early signs communication, appropriate mix. two (surgical duration > middle-aged [16-50 yr]) may be indicators other factors, level surgical complexity poor neurological outcome.