Fattahi Arash, Jahanbakhshi Amin, Taheri Morteza, Mehrizi Akbar, Chavoshinejad Mehdi
a Department of neurosurgery , 7tir hospital, Iran University of Medical Sciences , Tehran , Iran.
b Neurosurgeon, Department of neurosurgery , Iran University of Medical Sciences , Tehran , Iran.
Br J Neurosurg. 2018 Aug;32(4):396-399. doi: 10.1080/02688697.2018.1476673. Epub 2018 May 24.
Surgical site infection (SSI) is a source of concern in any surgical procedure. Although studies with high numbers of patients are available, most of these studies were performed by different surgeons and the exact anti-SSI protocol is not mentioned or is not homogeneous in all patients.
We present the results of 272 cases where SSI was successfully prevented in our neurosurgical units and in this study we explain our institutional protocol for achieving this positive result. We included all neurosurgical procedures in our two centers that needed an operating room, undertaken between 9 November 2015 and 6 December 2016, retrospectively. Then we compare our results with the existing literature.
We performed 272 neurosurgical procedures on 245 patients. 155 patients were male and 90 were female. We re-operated on 24 patients and 3 of them operated on three times in each instance case and others were operated on twice. The patient's ages ranged from 2 to 86years with the mean being 42.39 ± 19 years. The cranial site of surgery was more common (129 procedures, 47.4%) and overall 118 operations (43.4%) were accompanied with a prosthetic device placement. We performed 96 emergency procedures. The mean hospitalization time was 6.19 ± 6.77 days. We followed all patients for at least six months. There were no reports of SSI in our neurosurgical units.
With a fixed protocol of antisepsis, hand protection and prophylactic antibiotics, there were achieved good results. We recommend the current protocol as an effective measure in the control of infection in the neurosurgical ward. However, further studies are needed with more patients and a stronger study design.
手术部位感染（SSI）是任何外科手术都令人担忧的问题。尽管有大量患者参与的研究，但这些研究大多由不同的外科医生进行，而且确切的预防SSI方案未被提及，或者在所有患者中并不统一。
我们展示了272例在我们神经外科成功预防SSI的病例结果，在本研究中我们解释了我们机构为取得这一积极成果所采用的方案。我们回顾性纳入了2015年11月9日至2016年12月6日期间在我们两个中心进行的所有需要手术室的神经外科手术。然后我们将我们的结果与现有文献进行比较。
我们对245例患者进行了272例神经外科手术。男性155例，女性90例。我们对24例患者进行了再次手术，其中3例患者每次均接受了三次手术，其他患者接受了两次手术。患者年龄范围为2至86岁，平均年龄为42.39±19岁。颅脑手术部位更为常见（129例手术，占47.4%），总体上118例手术（占43.4%）伴有假体植入。我们进行了96例急诊手术。平均住院时间为6.19±6.77天。我们对所有患者至少随访了六个月。我们神经外科未报告有SSI病例。
通过固定的消毒、手部防护和预防性抗生素方案，取得了良好的效果。我们推荐当前方案作为神经外科病房控制感染的有效措施。然而，需要更多患者参与和更强有力的研究设计的进一步研究。
