Risk factors for surgical site infection following ventriculoperitoneal shunting
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Universidade Federal de Minas Gerais
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Artigo de periódico
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Background: Ventriculoperitoneal shunting (VPS) is a neu rosurgical procedure used to treat hydrocephalus. However, after this procedure, the surgical site infection rates and associated risk factors remain unclear. Most studies do not apply clear criteria for the definition of surgical site infection (SSI), hindering its clinical applicability.Methods: We conducted a retrospective, case-control study
to evaluate the risk factors for SSI after VPS. The National Healthcare Safety Network (NHSN) criteria were used to de fine SSI. A case was defined as any case of VPS with con firmation of SSI, and the control was defined as patient who underwent VPS without SSI after the procedure. Data were collected from patients undergoing VPS admitted to a hospital in Brazil between January 2007 and December 2011.Results: SSI occurred in 15.7% of patients, with organ/space SSIs being the most common (89.8%). Staphylococcus epidermidis was the most frequent (30.4%) of the pos itive cultures. Of the total patients, 39.5% were under the age of 1 year and had an increased risk of infection at the surgical site after VPS. Preoperative bath was associated with a lower number of SSIs.Conclusions: This study provides important information about SSI rates, risk, and protective factors in patients who underwent VPS in Brazil
Abstract
Assunto
Derivação Ventriculoperitoneal, Infecção da Ferida Cirúrgica, Hidrocefalia, Procedimentos Neurocirúrgicos
Palavras-chave
Ventriculoperitoneal shunt, Surgical wound infection, Hydrocephalus, Neurosurgical
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https://www.clinmedjournals.org/articles/jide/journal-of-infectious-diseases-and-epidemiology-jide-7-207.php?jid=jide