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Risk Factors for Surgical Site Infection Following Craniotomy

Purpose: To identify a neurosurgical patient at risk for a surgical site infection following craniotomy based on the study of Korinek et al.

Description

Korinek et al identified risk factors for a surgical site infection (SSI) developing in a neurosurgical patient undergoing craniotomy. These can help to identify a patient who may benefit from more aggressive monitoring. The authors are from the University of Paris VI.


 

Patient selection: craniotomy

 

Risk factors for surgical site infection:

(1) male gender

(2) postoperative CSF leak (greatest risk)

(3) surgeon

(4) surgical diagnosis (with higher rates seen with meningioma, metastasis or neurinoma)

(5) early re-operation

(6) prolonged operation (duration of surgery >= 4 hours)

(7) absence of antibiotic prophylaxis

 

Antibiotic prophylaxis reduced SSI by 40% (from 9.7% to 5.8%). Many of the patients who benefit are low risk patients.

 


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Specialty

Objective

ICD-10