Infections and Neurosurgery: Reality, Challenges and WorkStrategies at Hermanos Ameijeiras Hospita
Keywords:
neurosurgical procedures; morbimortality; associated infections.Abstract
Background: Infections related to sanitary assistance during neurosurgical practice are complications of high mortality and socioeconomic cost. Knowing the epidemiology contributes to improve strategies to reduce its appearance.
Objective: to characterize the epidemiology of infections associated with healthcare in the Neurosurgery service at Hermanos Ameijeiras Hospital during the period 2015-2017.
Method: A retrospective and descriptive study was carried out, using the database of patients operated on, whom suffered infections related to sanitary assistance and revealed clinical expression with positive culture, during 2015 to 2017. The infections were classified as proper of neurosurgical procedure and related to neurosurgical procedure. The information related to neurosurgical infections was obtained from the Infections Committee and the Epidemiology Department of the hospital.
Results: During the time period considered, 141 cases of infections related to sanitary assistance were diagnosed. In patients who underwent an endonasal endoscopic approach, infections related to the neurosurgical procedure predominated (urinary and low respiratory tract infections); whereas in those who underwent craniotomies and ventricular peritoneal shunt , the infections typical of the surgical procedure (surgical wound) prevailed, followed in a non-negligible way by those associated with the surgical procedure (urinary system and bloodstream). There was a reduction of the rates studied in 2017.
Conclusions: The complexity of the neurosurgical patient care process predisposes it to the appearance of infections associated with healthcare. Early detection, personalized analysis and compliance with the norms and action plans developed to this effect influence upon the decrease of infections in this group of patients.
References
Hamdeh, S., Lytsy, B., & Ronne, E.(2014). Surgical site infections in standard neurosurgery procedures– a study of incidence, impact and potential risk factors. British Journal of Neurosurgery, 28, 270-275.
Hong, B., Winkel, A., Ertl, P., Stumpp S., Schwabe K., Stiesch M., & Krauss J.(2018). Bacterial colonization of suture material after routine neurosurgical procedures: relevance for wound infection. Acta Neurochir 160, 497–503.
Izquierdo-Cubas, F. M., Zambrano Cárdenas, A., & Frómeta Suárez, I. (2008). Sistema de vigilancia de las infecciones intrahospitalarias en Cuba. Revista Cubana de Higiene y Epidemiología, 46(1) Recuperado de http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-30032008000100004&lng=es&tlng=es.
López Pereira, P., Díaz-Agero, A., Pérez, C., Las Heras Mosteiro, J., Palancar Cabrera, A., Rincón Carlavilla, A., & Aranaz Andrés, J.(2017).Epidemiology of surgical site infection in a neurosurgery department. British Journal of Neurosurgery, 31.
López Tagle, D., Hernández Ferrer, M., Saldívar Arias, T., Sotolongo Hernández, T., & Valdés Dupeyrón O.(2007).Infección de la herida quirúrgica. Aspectos epidemiológicos. Rev Cubana Med Milit, 36(2).
Múñeza E., R. A., Álvarez de Espejo, T., Vaquéb, J., Sánchez-Payác, J., Pastord, V., Asensioe, & A. (2012). Etiología de las infecciones quirúrgicas en pacientes sometidos a craneotomía. Neurocirugia;23(2); .54–59
Razmkon, A., Mehrafshan, A., Bakhtazad, A. (2011). Management of post-neurosurgical Acinetobacter infections: experiences obtained during an outbreak. Acta Neurochir 153, 435–436.
Saad, R., Vidal, P., Lessa, S., Bastos, V., Ito, R., Genari, …, & Queiroz M. (2015). Strategies for reducing surgical site infection in neurosurgery: experience from a Brazilian hospital. From 3rd International Conference on Prevention and Infection Control ,Geneva, Switzerland. 16-19 June 2015.
Schipmann, S., Akalin, E., Doods, J., Ewelt, C., Stummer, W., & Suero Molina, E.(2016). When the infection hits the wound: matched case-control study in a neurosurgical patient collective including systematic literature review and risk factors analysis. World Neurosurgery, 95, 178-189.
Tsitsopoulos, P., Iosifidis, E., Antachopoulos, C., Anestis, D., Karantani, E., Karyoti, A., …, & Tsonidis, C.(2016). Nosocomial bloodstream infections in neurosurgery: a 10-year analysis in a center with high antimicrobial drug-resistance prevalence. Acta Neurochir 158; 1647–1654
Vargas López, A.J., & Fernández Carballal. C. (2017). Incidencia y factores de riesgo de reingreso hospitalario a los 30 días en pacientes neuroquirúrgicos. Neurocirugía, 28, 22–27.
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