Incidence and perioperative risk factors for surgical site infections in neurosurgery: prospective observational study

Autor: Assem Mouneir Abdel-Latif, Amira A. Moharram, Ahmed Higazy, Nehal I. Ghoneim, Omnia Shafei, Salma G. Abdelhady, Ghadeer Assal, Aly Ibrahim
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Egyptian Journal of Neurosurgery, Vol 37, Iss 1, Pp 1-5 (2022)
Druh dokumentu: article
ISSN: 2520-8225
DOI: 10.1186/s41984-021-00142-w
Popis: Abstract Background Surgical site infections (SSI) represent a burden on the health care system especially in developing countries with significant morbidity and mortality. In Egypt, especially in our institution, there is no registry for the SSI rate or the contributing factors with no clear guidelines regarding the regimen of perioperative antibiotic prophylaxis. Our study was conducted to assess the local practice and to calculate the rate and risk factors of SSI. Patients and methods A prospective registry was established at the Neurosurgery Department, Demerdash teaching hospital Ain Shams University, Cairo, Egypt. All patients who underwent elective neurosurgical procedures were included in this study. Trauma patients were excluded. Patients were followed-up for incident SSI for 1 month postoperatively. SSIs were identified based on CDC criteria and a standardized data collection form predictor variables including patient characteristics, preoperative, intraoperative, and postoperative factors along with the pattern of antimicrobial prophylaxis. Results The study included 248 patients with 1-month postoperative follow-up. An SSI rate of 19% was recorded being mainly in patients below 10 years of age. Postoperative CSF leak was noticed to be the most significant risk factor of SSI in our study (p value
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