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Infections in the Neurosurgical Patient

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Critical Care Infectious Diseases Textbook
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Abstract

Two groups of infections may develop after neurosurgery. Superficial infections: cutaneous abcesses and osteitis of the skull. Cutaneous abcesses have an excellent prognostic, are easy to treat and have a low morbidity. Osteitis will require the flat to be removed, a plastie to be done, and a prolonged antibiotic therapy, all the preceeding carrying a heavy morbidity. Deep infections: meningitis, ventriculitis, deep abcesses. These infections may induce some degree of mortality and may be followed by neurologic sequelae, especially in children. Shunt infections are also considered as deep infection.

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References

  1. Reingold AL, Broome CV. Nosocomial central nervous system infections. In Bennett JV, Brachman PS (eds). Hospital infections 2nd edn. Boston: Little Brown, 1986:521.

    Google Scholar 

  2. Stephxens JL, Peacock JE. Uncommon infections: eye and CNS.: In Wenzel RP (ed). Prevention and control of nosocomial infections. 2nd edn. Baltimore:Williams and Wilkins, 1993:746.

    Google Scholar 

  3. Balch RE. Wound infections complicating neurosurgical procedures. J Neurosurg 26:41, 1967.

    Article  PubMed  CAS  Google Scholar 

  4. Tenney JH, Vladov D, Salcman M, Ducker TB. Wide variation in risk of wound infection following clean neurosurgery. Implications for perioperative antibiotic prophylaxis. J Neurosurg 62:243, 1985.

    Article  PubMed  CAS  Google Scholar 

  5. Bodi M, Bogue MC, Rello J. Infections in head traume, neurosurpery and spinal cord injury patients. Semin Respir Infect 15:206, 2000.

    Google Scholar 

  6. Korinek AM, the French Study Group of Neurosurgical Infections, the SEHP and the C.CLIN Pairs-Nord. Risk factors for neurosurgical site infections after craniotomy. A prospective multi-center study in 2944 patients. Neurosurgery 41:1073, 1997.

    Article  PubMed  CAS  Google Scholar 

  7. Renier D, Lacombe J, Pierre-Khan A, Sainte-Rose C, Hirsch JE Factors causing acute shunt infection. Computer analysis of 1174 operations. J Neurosurg 61:107, 1984.

    Article  Google Scholar 

  8. Saravolatz LD. Infection in implantable prosthetic devices. In Wenzel RP (ed). Prevention and control of nosocomial infections. 2nd edn. Baltimore:Williams and Wilkins, 1993:683.

    Google Scholar 

  9. Korinek AM, Bismuth R, Dagreou F. Les infections à staphylocoques à coagulase négative en neurochirurgie. Med Mai Infect 20 (Hors série mars): 91, 1990.

    Article  Google Scholar 

  10. Van EK B, Bakker FP, Van Dulken H, Dijkmans BAC. Infections after craniotomy: a retrospective study. J Infect 12:105, 1986.

    Article  Google Scholar 

  11. Van EK B, Dijkman BAC, Van Dulken H, Van Furth R. Antibiotic prophylaxis in craniotomy: a prospective double-blind placebo controlled study. Scand J Infect Dis 201:633, 1988.

    Google Scholar 

  12. Mangi RJ, Quintiliani R, Andriole VT. Gram-negative bacillary meningitis. Am J Med 59:829, 1975.

    Article  PubMed  CAS  Google Scholar 

  13. Portier H, Armengaud M, Becq-Giaudon B, Bousser J, et al. Traitement par l’association céfotaxime-fosfomycine des méningites de l’adults à staphylocoques ou à entérobactéries. Presse Méd 16:2161, 1987.

    PubMed  CAS  Google Scholar 

  14. Bisno AL. Infections of central nervous system shunts. In Infections associated with indwelling medical devices. Bisno AL,Waldvogel FA (eds). American Society for microbiology Washington: 1989:93.

    Google Scholar 

  15. James HE, Walsh JW, Wilson HD, Connor JD, Beun JR, Tibbs PA. Prospective randomized study of therapy in cerebrospinal fluid shunt infection. Neurosurgery 7:459, 1980.

    Article  PubMed  CAS  Google Scholar 

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© 2001 Springer Science+Business Media New York

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Korinek, AM., Martin, C. (2001). Infections in the Neurosurgical Patient. In: Rello, J., Valles, J., Kollef, M.H. (eds) Critical Care Infectious Diseases Textbook. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1679-8_6

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  • DOI: https://doi.org/10.1007/978-1-4615-1679-8_6

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-5674-5

  • Online ISBN: 978-1-4615-1679-8

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