[Nosocomial meningitis in endoscopic transsphenoidal surgery]. / Nozokomial'nye meningity v endoskopicheskoi transsfenoidal'noi khirurgii.
Zh Vopr Neirokhir Im N N Burdenko
; 86(4): 89-95, 2022.
Article
in Ru
| MEDLINE
| ID: mdl-35942842
ABSTRACT
One of the main problems of transsphenoidal surgery is the risk of infectious complications. Nosocomial meningitis (NCM) can lead to increased length of hospital stay and financial costs, poor treatment outcomes and even mortality. This complication is an indicator of the quality of medical care for patients with neurosurgical diseases. The purpose of the review was to study the main risk factors of NCM, modern schemes for antibiotic prophylaxis and treatment of this complication after endoscopic transsphenoidal surgery. The main risk factors of meningitis are intra- and postoperative CSF leakage, overweight, diabetes mellitus, previous transsphenoidal surgeries and radiotherapy. To date, there are no generally accepted periods for antibiotic prophylaxis in nasal CSF leakage, installed external ventricular / lumbar drains or tampons in nasal cavity. Antibiotic prophylaxis should not exceed 3 postoperative days due to the risk of cultivating the drug-resistant organisms. If NCM is detected, treatment should be initiated immediately with a broad spectrum of antibiotics.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pituitary Neoplasms
/
Cross Infection
/
Meningitis
Type of study:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limits:
Humans
Language:
Ru
Journal:
Zh Vopr Neirokhir Im N N Burdenko
Year:
2022
Document type:
Article
Affiliation country:
Rusia