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Infections neuroméningées postopératoires et abcès cérébraux

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La réanimation neurochirurgicale

Part of the book series: Le point sur … ((POINT))

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Abstrait

Même si la neurochirurgie est dans la plupart des cas une chirurgie propre avec un risque infectieux faible, la gravité des infections postneurochirurgicales est indiscutable, en raison de leur proximité, voire même de leur localisation à l’intérieur du système nerveux central (SNC). Ces infections sont diverses, et leur survenue dépend de trois acteurs: le malade et sa pathologie, l’opérateur et la bactérie. Il est classique de dire que leur pronostic a été modifié par l’apport de l’imagerie médicale, les progrès des techniques chirurgicales et de l’antibiothérapie. C’est sans compter avec l’action des Comités de Lutte contre les Infections Nosocomiales (CLIN) à l’intérieur des hôpitaux et dans les blocs opératoires et leur rôle dans la prévention et l’analyse de la cause du développement des infections nosocomiales. Même si les critères de définition de ces infections restent trop souvent simplistes et dogmatiques, les neuro-anesthésistes réanimateurs sont concernés par cette pathologie, non seulement par la prescription de molécules anti-infectieuses, mais aussi dans leur prévention.

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Author information

Authors and Affiliations

  1. Département Anesthésie-Réanimation, CHU Hôpital Robert Debré, 51092, Reims Cedex

    Jean-Pierre Graftieaux, Claire Lépouse, Philippe Gomis & Alain Léon

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  1. Jean-Pierre Graftieaux
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  2. Claire Lépouse
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  3. Philippe Gomis
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  4. Alain Léon
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Editor information

Editors and Affiliations

  1. Département d’Anesthésie-Réanimation, CHU Timone, 264, rue Saint-Pierre, 13385, Marseille

    Nicolas Bruder

  2. Département d’Anesthésiologie et Réanimation, Hôpital Régional, Avenue du grand Champsec 80, CH-1951, Sion (Suisse)

    Patrick Ravussin

  3. Department of Anaesthesia, The Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario, Canada, M5G 1X8

    Bruno Bissonnette

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Graftieaux, JP., Lépouse, C., Gomis, P., Léon, A. (2007). Infections neuroméningées postopératoires et abcès cérébraux. In: Bruder, N., Ravussin, P., Bissonnette, B. (eds) La réanimation neurochirurgicale. Le point sur …. Springer, Paris. https://doi.org/10.1007/978-2-287-68199-8_14

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  • DOI: https://doi.org/10.1007/978-2-287-68199-8_14

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-68198-1

  • Online ISBN: 978-2-287-68199-8

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