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Incidence and microbiology of surgical site infection in cranial neurosurgery in recent era: Single institutional consecutive series and review of literature
J Korean Skull Base Soc 2023;18(2):92-104
Published online October 31, 2023
© 2023 Korean Skull Base Society.

Yoohyun Kwon, Haewon Rho, Hyun Joon Jo, Won Ki Yoon, Jong Hyun Kim, Taek Hyun Kwon, Joonho Byun

Department of Neurosurgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea
Correspondence to: Joonho Byun
E-mail drjunho2@gmail.com
ORCID https://orcid.org/0000-0003-0687-3286
Received August 22, 2023; Revised September 7, 2023; Accepted September 7, 2023.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Surgical site infection (SSI) is the most common healthcare-associated infection. Neurosurgical SSI results in severe morbidity and high mortality. This study aims to review our institutional series of SSIs after cranial surgery, identify risk factors and pathogens, and enhance surgical outcomes through literature review.
Materials and Methods: A retrospective, single-institutional study was conducted, craniotomy and craniectomy from January 2021 to December 2022 were included. Risk factors of all cases and pathogens, treatments, and outcomes of infected cases were collected and statistically analyzed.
Results: Out of total 391 cases, 8 cases (2.0%) from six different type of surgeries, and diseases were diagnosed SSI. Four different pathogens were isolated, but pathogen was not identified in 4 cases (50.0%). The isolated pathogens included methicillin-sensitive Staphylococcus aureus, methicillin-resistant S. aureus, Bacillus cereus, and multi-drug resistant Acinetobacter baumannii. Among the eight cases, there were 2 cases (25.0%) of superficial SSI, 4 cases (50.0%) of deep SSI, and 2 cases (25.0%) of organ/space SSI. Two cases (25.0%) were managed with antibiotics alone, abscess was drained in 2 cases (25.0%), and revisional surgery was conducted in 4 cases (50.0%).
Conclusions: Out of the 8 cases of SSI, a half of the isolated strains were multi-drug resistant. All infections were successfully treated without complications. However, guidelines for treatment of neurosurgical site infection were insufficient. The increasing prevalence of multi-drug resistant bacterial infection underscores the necessity of treatment consensus for the future.
Keywords : Surgical site infection, Craniotomy, Bacterial infection, Drug resistance


October 2023, 18 (2)
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