SLOVENIAN GUIDELINES ON ANTIBIOTIC PROPHYLAXIS APPLICATION IN NEUROSURGICAL OPERATIONS

  • Andreja Saje Splošna bolnišnica Novo mesto, Šmihelska cesta 1, 8000 Novo mesto
  • Andrej Porčnik Klinični oddelek za nevrokirurgijo, Univerzitetni klinični center Ljubljana, Zaloška 7, 1000 Ljubljana
  • Marjan Koršič Klinični oddelek za nevrokirurgijo, Univerzitetni klinični center Ljubljana, Zaloška 7, 1000 Ljubljana
  • Bojana Beović Klinika za infekcijske bolezni in vročinska stanja, Univerzitetni klinični center Ljubljana, Japljeva ulica 2, 1000 Ljubljana
Keywords: antibiotic prophylaxis, postoperative infection, craniotomies, spinal operations, liquor drainage system, penetrating head injuries, antibiotic resistance

Abstract

Postoperative infections increase morbidity and mortality of patients undergoing neurosurgical operations. Correct application of prophylactic antibiotics before, during and after surgery is therefore crucial. In this manuscript we present the first Slovenian guidelines that give details on recommended prophylactic regimen and its correct dosing for different types of neurosurgical operations.

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References

Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG. CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections. Infect Control Hosp Epidemiol. 1992; 13: 606-8.

(NCBI) NCfBI. Medline thesaurus,Search term: antibiotic prophylaxis. 2013; Available from: www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=search&DB=mesh.

Voit SB, Todd JK, Nelson B, Nyquist AC. Electronic surveillance system for monitoring surgical antimicrobial prophylaxis. Pediatr. 2005; 116(6): 1317-22.

Anonymous. Guideline for prevention of surgical site infection. Bull Am Coll Surg. 2000; 85: 23-9.

Korinek AM. Risk factors for neurosurgical site infections after craniotomy: a prospective multicenter study of 2944 patients. The French Study Group of Neurosurgical Infections, the SEHP, and the C-CLIN Paris-Nord. Service Epidemiologie Hygiene et Prevention. Neurosurg. 1997; 41: 1073-9; discussion 9-81.

Korinek AM, Baugnon T, Golmard JL, van Effenterre R, Coriat P, Puybasset L. Risk factors for adult nosocomial meningitis after craniotomy: role of antibiotic prophylaxis.[Reprint in Neurosurgery. 2008 Feb;62 Suppl 2:532-9; PMID: 18596451]. Neurosurg. 2006; 59: 126-33; discussion -33.

Mollman HD, Haines SJ. Risk factors for postoperative neurosurgical wound infection. A case-control study. J Neurosurg. 1986; 64: 902-6.

Raggueneau JL, Cophignon J, Kind A, Rey A, Goldstein A, Thurel C, et al. [Analysis of infectious sequelae of 1000 neurosurgical operations. Effects of prophylactic antibiotherapy]. Neurochirurgie. 1983; 29: 229-33.

McClelland S, 3rd, Hall WA. Postoperative central nervous system infection: incidence and associated factors in 2111 neurosurgical procedures. Clin Infect Dis. 2007; 45: 55-9.

Network SIG. Antibiotic prophylaxis in surgery, A national clinical guideline. 2008; Available from: http://www.sign.ac.uk/pdf/sign104.pdf.

Martin C. Antimicrobial prophylaxis in surgery: general concepts and clinical guidelines. French Study Group on Antimicrobial Prophylaxis in Surgery, French Society of Anesthesia and Intensive Care. Infect Control Hosp Epidemiol. 1994; 15: 463-71.

Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol. 1999; 20: 250-78; quiz 79-80.

Anderson DJ, Kaye KS, Classen D, Arias KM, Podgorny K, Burstin H, et al. Strategies to prevent surgical site infections in acute care hospitals. Infect Control Hosp Epidemiol. 2008; 29 Suppl 1: S51-61.

Barker FG, 2nd. Efficacy of prophylactic antibiotics against meningitis after craniotomy: a meta-analysis. Neurosurg. 2007; 60: 887-94; discussion -94.

Barker IFG, McCormick PC, Haines SJ, Benzel EC. Efficacy of prophylactic antibiotic therapy in spinal surgery: A meta-analysis. Neurosurg. 2002; 51: 391-401.

Dimick JB, Lipsett PA, Kostuik JP. Spine update: antimicrobial prophylaxis in spine surgery: basic principles and recent advances. Spine. 2000; 25: 2544-8.

Hosein IK, Hill DW, Hatfield RH. Controversies in the prevention of neurosurgical infection. J Hosp Infect. 1999; 43: 5-11.

Maurice-Williams RS, Pollock J. Topical antibiotics in neurosurgery: a re-evaluation of the Malis technique. Br J Neurosurg. 1999; 13: 312-5.

Martin C. [Guidelines for antibiotic prophylaxis in surgery patients: application to Neurosurgery. 1999 update. Working Group of Experts of the Societe Francaise d'Anesthesie et de Reanimation (SFAR)]. Neurochirurgie. 2000; 46: 402-5.

Plowman R. The socioeconomic burden of hospital acquired infection . Euro Surveill. 2000;5(4):pii=4. Available from: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=4.

Gold HS, Moellering RC, Jr. Antimicrobial-drug resistance. N Engl J Med. 1996; 335: 1445-53.

Goossens H, Ferech M, Vander Stichele R, Elseviers M. Outpatient antibiotic use in Europe and association with resistance: a crossnational database study. Lancet. 2005; 365: 579-87.

Austin DJ, Kakehashi M, Anderson RM. The transmission dynamics of antibiotic-resistant bacteria: the relationship between resistance in commensal organisms and antibiotic consumption. Proceedings of the Royal Society of London - Series B: Biological Sciences. 1997; 264: 1629-38.

Schwartz B, Bell DM, Hughes JM. Preventing the emergence of antimicrobial resistance. A call for action by clinicians, public health officials, and patients. JAMA. 1997; 278: 944-5.

Kachroo S, Dao T, Zabaneh F, Reiter M, Larocco MT, Gentry LO, et al. Tolerance of vancomycin for surgical prophylaxis in patients undergoing cardiac surgery and incidence of vancomycin-resistant enterococcus colonization. Ann Pharmacother. 2006; 40: 381-5.

Wagenlehner F, Stower-Hoffmann J, Schneider-Brachert W, Naber KG, Lehn N. Influence of a prophylactic single dose of ciprofloxacin on the level of resistance of Escherichia coli to fluoroquinolones in urology. Int J Antimicrob Agents. 2000; 15: 207-11.

Nelson RL, Kelsey P, Leeman H, Meardon N, Patel H, Paul K, et al. Antibiotic treatment for Clostridium difficile-associated diarrhea in adults. Cochrane Database Syst Rev. 2011: CD004610.

Poutanen SM, Simor AE. Clostridium difficile-associated diarrhea in adults. CMAJ Can Med Assoc J. 2004; 171: 51-8.

Bartlett JG. Clinical practice. Antibiotic-associated diarrhea. N Engl J Med. 2002; 346: 334-9.

Mukhtar S, Shaker H, Basarab A, Byrne JP. Prophylactic antibiotics and Clostridium difficile infection. J Hosp Infect. 2006; 64: 93-4.

Wilcox MH, Cunniffe JG, Trundle C, Redpath C. Financial burden of hospital-acquired Clostridium difficile infection. J Hosp Infect. 1996; 34: 23-30.

Atanaskovic-Markovic M, Velickovic TC, Gavrovic-Jankulovic M, Vuckovic O, Nestorovic B. Immediate allergic reactions to cephalosporins and penicillins and their cross-reactivity in children. Pediatr Allergy Immunol. 2005; 16: 341-7.

Ali B, Ghosh A. Antibiotics in compound depressed skull fractures. Emerg Med J. 2002; 19: 552-3.

Bayston R, de Louvois J, Brown EM, Johnston RA, Lees P, Pople IK. Use of antibiotics in penetrating craniocerebral injuries. "Infection in Neurosurgery" Working Party of British Society for Antimicrobial Chemotherapy. Lancet. 2000; 355: 1813-7.

Brown EM. Antibiotic prophylaxis in patients undergoing clean, non-implant craniotomy. Br J Neurosurg. 2006; 20: 273-4.

Brown EM, Pople IK, de Louvois J, Hedges A, Bayston R, Eisenstein SM, et al. Spine update: prevention of postoperative infection in patients undergoing spinal surgery. Spine. 2004; 29: 938-45.

Fahy BG, Bowe EA, Conigliaro J. Perioperative antibiotic process improvement reaps rewards. Am J Med Qual. 2011; 26: 185-92.

Haines SJ. Efficacy of antibiotic prophylaxis in clean neurosurgical operations. Neurosurg. 1989; 24: 401-5.

Mastronardi L, Tatta C. Intraoperative antibiotic prophylaxis in clean spinal surgery: a retrospective analysis in a consecutive series of 973 cases. Surg Neurol. 2004; 61: 129-35; discussion 35.

Valentini LG, Casali C, Chatenoud L, Chiaffarino F, Uberti-Foppa C, Broggi G. Surgical site infections after elective neurosurgery: a survey of 1747 patients. Neurosurg. 2008; 62: 88-95; discussion -6.

Van K. Erratum: Optimaliseren van het antibioticabeleid in Nederland. V. SWAB-richtlijnen voor perioperatieve antibiotische profylaxe (Netherlands Tijdschrift voor Geneeskunde (2000) (2049-2055)). [Dutch]. Ned Tijdschr Geneeskd. 2001; 145: 112.

Hannes W, Udo H, Rainer I, Peter K, Cordula L, Kurt N, et al. Perioperative Antibiotika-Profylaxe. PEG Empfelungen 2010; Available from: http://www.aerztekammer-bw.de/10aerzte/20fortbildung/20praxis/88arzneimitteltherapie/1006c.pdf.

Anonymous. Antimicrobial prophylaxis for surgery. Treat Guidel Med Lett. 2012; 10: 73-8; quiz 9-80.

Bratzler DW, Dellinger EP, Olsen KM, Perl TM, Auwaerter PG, Bolon MK, et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health Syst Pharm. 2013; 70: 195-283.

Delovna skupina C13. Slovenski priročnik za smernice. 2003.

Ratilal B, Costa J, Sampaio C. Antibiotic prophylaxis for surgical introduction of intracranial ventricular shunts. Cochrane Database Syst Rev. 2006: CD005365.

Slovensko združenje za intenzivno medicino. Priporočene smernice za ukrepe in zdravljenje pri poškodovancih s hudo poškodbo glave. Zdrav vestn. 2004; 73: 31-6.

Published
2014-06-23
How to Cite
1.
Saje A, Porčnik A, Koršič M, Beović B. SLOVENIAN GUIDELINES ON ANTIBIOTIC PROPHYLAXIS APPLICATION IN NEUROSURGICAL OPERATIONS. TEST ZdravVestn [Internet]. 23Jun.2014 [cited 7May2024];83(5). Available from: http://vestnik-dev.szd.si/index.php/ZdravVest/article/view/1017
Section
Quality and safety