Infections in neurosurgical patients incidence, microbiology and risk factors for postcraniotomy meningitis
| العنوان: | Infections in neurosurgical patients incidence, microbiology and risk factors for postcraniotomy meningitis |
|---|---|
| المؤلفون: | Irene Kourbeti |
| بيانات النشر: | National Documentation Centre (EKT), 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | medicine.medical_specialty, business.industry, Incidence (epidemiology), medicine, Intensive care medicine, business, medicine.disease, Meningitis |
| الوصف: | Nosocomial infections related to the central nervous system are a relatively small but important category of hospital- acquired infections. These infections span a spectrum from superficial wound infections to ventricular shunt infections, meningitis and deep-seated abscesses of the brain parenchyma. They are serious infections, if not life threatening and can be associated with a poor functional outcome. These infections may present many challenges in diagnosis. Nevertheless, a heightened awareness may result to declining rates of infections. The association of neurosurgical infections with certain risk factors may further help in the prevention or the early diagnosis of the neurosurgical infections. The determination of the most commonly isolated offending pathogens and their sensitivities may lead to the most effective treatment. Neurosurgical infections have not been extensively investigated in Greece. With this research we attempted to further determine the bacteriology, the rates and the factors associated with neurosurgical infections. Since there are not detailed reports on post-craniotomy meningitis (PCM) in the international literature, we performed three studies on this subject (two retrospective and one prospective). One of these retrospective studies was performed in NYU Medical Center where the candidate was an Infectious Disease fellow. The retrospective studies were performed in different time periods in NYU Medical Center and in the Medical Center of the University of Crete and we had the opportunity to compare the trends in the offending pathogens and the associated risk factors. In the University of Crete there was a report on the infections after craniotomy in a Thesis for doctoral degree presented in 2008 by M. Roumbelaki, RN. In this Thesis, the rate of SSIs after craniotomy was reported to be 11.1% [287], which was higher when compared with countries such as USA and Spain. Nevertheless, there was no specific mention on the rates of meningitis/ventriculitis after craniotomy, and no mention on the SSIs in the general neurosurgical population. In the retrospective study we performed in a 3-year period and in 1112 general neurosurgical patients, the rate of SSIs was 12.5%. This is a rate that is considerable higher than the ones reported in the literature [16, 24, 51, 194, 195]. In one of the largest studies on postoperative infections in neurosurgery, the infection rates was |
| DOI: | 10.12681/eadd/24938 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::42b175c196746c6cca887dd912c50c56 https://doi.org/10.12681/eadd/24938 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi...........42b175c196746c6cca887dd912c50c56 |
| قاعدة البيانات: | OpenAIRE |
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