Postoperative infection following craniotomy in adults
Postoperative infection following craniotomy in adults
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DOI：
10.1016/j.medmal.2003.12.011
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发表时间：
2004-05-01
影响因子：
5
通讯作者：
Barrou, L
中科院分区：
文献类型：
--
作者：
Idali, B;Lahyat, B;Barrou, L
Objective. - 本研究的目的是确定开颅术后感染的危险因素，对重要的预后的威胁，以确定具体的预防措施。- 对所有接受开颅手术的成人患者进行开放前瞻性研究，并在术后30天进行随访。根据CDCA标准定义感染。研究的参数为：年龄、性别、阿萨和格拉斯哥评分、神经外科史、剃须类型、剃须时间、剃须表面、抗生物预防剂、手术类型、手术时间和急诊程度。- 纳入170例患者。30例出现感染（17.6%），9例出现颅骨感染，13例出现脑膜炎，3例出现脓胸，2例出现骨炎。单因素分析显示，手术的紧急程度（P < 0.01）、手术时间>200 min、ICU住院时间>72 h（P < 0.02）是影响手术死亡的危险因素。(C)2004年，Elsevier SAS。吨储备。
Objective. - The aim of this study was to determine the risk factors for postoperative infection after craniotomy, a threat for the vital prognosis, in order to define specific prevention measures.Method and patients. - An open prospective study was made on all adult patients undergoing craniotomy and followed 30 days postoperatively. The infections were defined according to CDCA criteria. The parameters studied were: age, sex, ASA and Glasgow scores, neurosurgical history, the type, the moment and the surface of shaving, anti bioprophylaxis, and the type and duration of surgery as well as its emergency level.Results. - One hundred and seventy patients were included. Thirty presented with an infection (17.6%), nine with a skull infection, 13 with meningitis, three with empyema, and two with osteitis. The risk factors identified thanks to a univariate analysis were the emergency level of surgery (P < 0.01), duration of surgery >200 min, and duration of stay in ICU >72 h (P < 0.02). (C) 2004 Elsevier SAS. Tons droits reserves.