Infections in patients with traumatic brain injury who undergo neurosurgery

British Journal of Neurosurgery
I S KourbetiA F Vakis

Abstract

Several factors place victims with traumatic brain injury (TBI) at increased risk for infection. The purpose of this study was to delineate the frequency, types and risk factors for infection in patients with TBI who undergo neurosurgery. Retrospective surveillance of infections in patients with TBI, aged  ≥18 years who underwent neurosurgery in University of Crete between 1999 and 2005. Two hundred fifty-eight patients (76.7% men) who underwent 342 procedures were included. One hundred forty-two infections occurred, mainly lower respiratory tract infections (44.4% of the number of infections) and surgical site infections (SSIs) (25.4%). In multivariate analysis, SSIs were independently associated with the length of stay (p < 0.001), history of malignancy (p = 0.008), CSF leak (p = 0.012), any concomitant infection (p = 0.010), particularly urinary tract infections (p = 0.001) and the use of lumbar and/or ventricular drains (p = 0.005). Meningitis was independently associated with the total length of stay (p < 0.001), the need for intubation and mechanical ventilation beyond surgery (p = 0.028) and the presence of a lumbar and/or ventricular drain (p < 0.001). Respiratory tract infections were common in patients with TBI who un...Continue Reading

References

Jan 1, 1992·Acta neurochirurgica·R PatirA K Banerji
Jun 1, 1986·Journal of Neurosurgery·H D Mollman, S J Haines
Mar 1, 1984·The New England Journal of Medicine·C G MayhallR K Narayan
Sep 1, 1994·Neurosurgery·I BaltasA Kondodimou
Jul 1, 1996·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·F Bert, N Lambert-Zechovsky
Feb 7, 1998·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·M TalmorP S Barie
Sep 12, 1998·Annals of Internal Medicine·D J CookC Brun-Buisson
Nov 3, 1998·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·V WestergrenU Forsum
Jul 31, 1999·Annales Françaises D'anesthèsie Et De Rèanimation·A M Korinek
Aug 17, 2000·Journal of Neurology, Neurosurgery, and Psychiatry·J A RebuckW M Coplin
Feb 28, 2001·Seminars in Respiratory Infections·M C BoqueJ Rello
Apr 26, 2001·Neurological Research·J G Pilitsis, S S Rengachary
Nov 17, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·K E LykeT M Perl
Dec 26, 2001·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Jeffrey V Rosenfeld
May 4, 2002·American Journal of Infection Control·Magaly Cecília Franchini ReichertFernando Antonio Patriani Ferraz
Aug 17, 2002·Neurosurgery·Alan P LozierE Sander Connolly
Aug 18, 2004·Critical Care : the Official Journal of the Critical Care Forum·Tomasz DziedzicAndrzej Szczudlik
Jan 22, 2005·Current Opinion in Critical Care·Paolo PelosiMaurizio Chiaranda
Feb 3, 2005·Surgical Infections·Louis J MagnottiTimothy C Fabian
Jul 19, 2005·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Kuo-Wei WangCheng-Hsien Lu
Oct 21, 2005·Journal of Neurosurgery·Daliana Peres BotaJean-Louis Vincent
Dec 24, 2005·Acta neurochirurgica·M Gelabert-GonzálezR M Rumbo
Nov 14, 2006·Neurocritical Care·David A ZygunChristopher J Doig
Feb 10, 2007·Neurosurgery·Irene S KourbetiRobert S Holzman
Feb 14, 2007·The Journal of Trauma·Josep M Abadal-CentellasJordi Ibáñez-Juvé
Mar 6, 2007·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Sheng-Jean HuangYong-Kwang Tu
Apr 17, 2007·The Journal of Hospital Infection·M WeisfeltJ de Gans
Jun 15, 2007·The Journal of Trauma·Tae-Won KimSoo-Han Kim
Oct 18, 2007·Journal of Neurology, Neurosurgery, and Psychiatry·Alejandro A Rabinstein, Kirsten Sandhu
Feb 19, 2008·Acta neurochirurgica·D HoefnagelC J J Avezaat
May 13, 2008·The Journal of Trauma·Amilcar Espinosa-AguilarJorge A Rebollar-González
Oct 2, 2008·Journal of Neurosurgery·Claire LietardBenoist Lejeune

❮ Previous
Next ❯

Citations

Nov 26, 2015·Frontiers in Neurology·Jon HazeldineAntonio Belli
Aug 29, 2019·Current Neurology and Neuroscience Reports·Katharina M Busl
Apr 27, 2021·Neurologic Clinics·Courtney E TakahashiAnna M Cervantes-Arslanian

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.