作者
Arjun R Adapa, Joseph R Linzey, Francine Moriguchi, Badih J Daou, Siri Sahib Singh Khalsa, Sreelatha Ponnaluri-Wears, Byron Gregory Thompson, Paul Park, Aditya S Pandey
发表日期
2024/3/3
期刊
British journal of neurosurgery
卷号
38
期号
2
页码范围
503-509
出版商
Taylor & Francis
简介
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 …
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AR Adapa, JR Linzey, F Moriguchi, BJ Daou… - British journal of neurosurgery, 2024