Encyclopedia of Intensive Care Medicine

2012 Edition
| Editors: Jean-Louis Vincent, Jesse B. Hall

Post-neurosurgical CNS Infection

  • Sonja HansenEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-642-00418-6_92

Patients undergoing neurosurgery always have a risk of developing a postoperative surgical site infection (SSI). Even simple incisions can affect the physiological barrier of the skin and microorganisms can easily contaminate the operation site. Most infections occur during the procedure while the wound is open and easily becomes transferred from the patient’s own flora.

Besides the antiseptic preparation of the skin, antimicrobial prophylaxis reduces the microbial burden of contamination. Accurate postoperative monitoring is necessary since even with strict adherence to prevention measures patients may develop infection. The monitoring helps to identify post-neurosurgical CNS infection in sufficient time to initialize immediate medical and/or surgical treatment.

SSIs after craniotomy occur with a frequency of 2.6 SSIs per 100 operations according to the National Healthcare Safety Network report. SSIs after shunt procedures are reported with a frequency of 4.7 SSI per 100 ventricular...

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References

  1. 1.
    Edwards JR, Peterson KD, Andrus ML, Dudeck MA, Pollock DA, Horan TC, National Healthcare Safety Network Facilities (2008) National Healthcare Safety Network (NHSN) Report, data summary for 2006 through 2007, issued November 2008. Am J Infect Control 36:609–626PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Institute of Hygiene and Environmental MedicineCharité – University MedicineBerlinGermany