Risk factors and morbidity associated with surgical site infection subtypes following adult neurosurgical procedures
| Autor: | Joseph R Linzey, B Thompson, Siri S. Khalsa, Sreelatha Ponnaluri-Wears, Paul Park, Francine Moriguchi, Arjun R. Adapa, Badih J Daou, Aditya S Pandey |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Mortality rate medicine.medical_treatment Osteomyelitis General Medicine medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Spinal fusion medicine Ventriculitis Neurology (clinical) Neurosurgery business Abscess Meningitis 030217 neurology & neurosurgery Craniotomy |
| Zdroj: | British Journal of Neurosurgery. :1-7 |
| ISSN: | 1360-046X 0268-8697 |
| DOI: | 10.1080/02688697.2021.1905773 |
| Popis: | OBJECTIVE Studies on surgical site infection (SSI) in adult neurosurgery have presented all subtypes of SSIs as the general 'SSI'. Given that SSIs constitute a broad range of infections, we hypothesized that clinical outcomes and management vary based on SSI subtype. METHODS A retrospective analysis of all neurosurgical SSI from 2012-2019 was conducted at a tertiary care institution. SSI subtypes were categorized as deep and superficial incisional SSI, brain, dural or spinal abscesses, meningitis or ventriculitis, and osteomyelitis. RESULTS 9620 craniotomy, shunt, and fusion procedures were studied. 147 procedures (1.5%) resulted in postoperative SSI. 87 (59.2%) of these were associated with craniotomy, 36 (24.5%) with spinal fusion, and 24 (16.3%) with ventricular shunting. Compared with superficial incisional primary SSI, rates of reoperation to treat SSI were highest for deep incisional primary SSI (91.2% vs 38.9% for superficial, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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