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http://hdl.handle.net/2445/166523
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DC Field | Value | Language |
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dc.contributor.author | Jiménez Martínez, Emilio | - |
dc.contributor.author | Cuervo Requena, Guillermo | - |
dc.contributor.author | Hornero, Ana | - |
dc.contributor.author | Ciercoles, Pilar | - |
dc.contributor.author | Gabarrós, Andreu | - |
dc.contributor.author | Cabellos Mínguez, Ma. Carmen | - |
dc.contributor.author | Pelegrin, Ivan | - |
dc.contributor.author | Garcia-Somoza, Dolores | - |
dc.contributor.author | Adamuz Tomás, Jordi | - |
dc.contributor.author | Carratalà, Jordi | - |
dc.contributor.author | Pujol, Miguel | - |
dc.date.accessioned | 2020-06-23T08:53:26Z | - |
dc.date.available | 2020-06-23T08:53:26Z | - |
dc.date.issued | 2019-05-02 | - |
dc.identifier.issn | 2047-2994 | - |
dc.identifier.uri | http://hdl.handle.net/2445/166523 | - |
dc.description.abstract | Background: Although surgical site infection after craniotomy (SSI-CRAN) is a serious complication, risk factors for its development have not been well defined. We aim to identify the risk factors for developing SSI-CRAN in a large prospective cohort of adult patients undergoing craniotomy. Methods: A series of consecutive patients who underwent craniotomy at a university hospital from January 2013 to December 2015 were prospectively assessed. Demographic, epidemiological, surgical, clinical and microbiological data were collected. Patients were followed up in an active post-discharge surveillance programm e for up to one year after surgery. Multivariate analysis was carried out to identify independent risk factors for SSI-CRAN. Results: Among the 595 patients who underwent craniotomy, 91 (15.3%) episodes of SSI-CRAN were recorded, 67 (73.6%) of which were organ/space. Baseline demographic characteristics were similar among patients who developed SSI-CRAN and those who did not. The most frequent causative Gram-positive organisms were Cutibacterium acnes (23.1%) and Staphylococcus epidermidis (23.1%), whereas Enterobacter cloacae (12.1%) was the most commonly isolated Gram-negative agent. In the univariate analysis the factors associated with SSI-CRAN were ASA score > 2 (48.4% vs. 35.5% in SSI-CRAN and no SSI-CRAN respectively, p = 0.025), extrinsic tumour (28.6% vs. 19.2%, p = 0.05), and re-intervention (4.4% vs. 1.4%, p = < 0.001). In the multivariate analysis, ASA score > 2 (AOR: 2.26, 95% CI: 1.32-3.87; p = .003) and re-intervention (OR: 8.93, 95% CI: 5.33-14.96; p < 0.001) were the only factors independently associated with SSI-CRAN. Conclusion: The risk factors and causative agents of SSI-CRAN identified in this study should be considered in the design of preventive strategies aimed to reduce the incidence of this serious complication. | - |
dc.format.extent | 8 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | BioMed Central | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1186/s13756-019-0525-3 | - |
dc.relation.ispartof | Antimicrobial Resistance and Infection Control, 2019, vol. 8, p. 69 | - |
dc.relation.uri | https://doi.org/10.1186/s13756-019-0525-3 | - |
dc.rights | cc-by (c) Jimenez-Martinez, Emilio et al., 2019 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es | - |
dc.source | Articles publicats en revistes (Ciències Clíniques) | - |
dc.subject.classification | Operacions quirúrgiques | - |
dc.subject.classification | Infeccions | - |
dc.subject.classification | Craniometria | - |
dc.subject.other | Surgical operations | - |
dc.subject.other | Infections | - |
dc.subject.other | Craniometry | - |
dc.title | Risk factors for surgical site infection after craniotomy: a prospective cohort study | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 694750 | - |
dc.date.updated | 2020-06-23T08:53:26Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 31073400 | - |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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694750.pdf | 608.17 kB | Adobe PDF | View/Open |
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