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Sharipov O.I.

N.N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Health of the Russian Federation

Ershova O.N.

Burdenko National Medical Research Center of Neurosurgery

Kurdyumova N.V.

Burdenko Neurosurgical Center

Kalinin P.L.

Burdenko Neurosurgery Center

Nosocomial meningitis in endoscopic transsphenoidal surgery

Authors:

Sharipov O.I., Ershova O.N., Kurdyumova N.V., Kalinin P.L.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2022;86(4): 89‑95

DOI: 10.17116/neiro20228604189

Read: 3211 times

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Table of contents

NOSOCOMIAL MENINGITIS IN ENDOSCOPIC TRANSSPHENOIDAL SURGERY
NOSOCOMIAL MENINGITIS IN ENDOSCOPIC TRANSSPHENOIDAL SURGERY

To cite this article:

Sharipov OI, Ershova ON, Kurdyumova NV, Kalinin PL. Nosocomial meningitis in endoscopic transsphenoidal surgery. Burdenko's Journal of Neurosurgery. 2022;86(4):89‑95. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20228604189

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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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.

Keywords:

transsphenoidal approach
CSF leakage
meningitis
complications

Authors:

Sharipov O.I.

N.N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Health of the Russian Federation

Ershova O.N.

Burdenko National Medical Research Center of Neurosurgery

Kurdyumova N.V.

Burdenko Neurosurgical Center

Kalinin P.L.

Burdenko Neurosurgery Center

Received:

03.11.2021

Accepted:

10.06.2022

Close metadata

References:

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