ArticleAnnals of the Royal College of Surgeons of England2019
Risk factors for surgical site infections in neurosurgery.
Article in Annals of the Royal College of Surgeons of England, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Surgical Site Infections After External Ventricular Drain Placement: Incidence, Patient-Related, and Periprocedural Risk Factors.Neurosurgery practice · 2026Article
- External Ventricular Drains and Infection Risk: Duration as the Dominant Predictor-A Systematic Review and Meta-Analysis.Brain sciences · 2026Review
- Risk Factors for Postoperative Wound Infections in Patients with Brain Tumors Without Anticoagulant or Antiplatelet Therapy: A Ten-Year Single-Center Retrospective Analysis.Journal of clinical medicine · 2026Article
- Minimally invasive abdominal catheter placement in ventriculoperitoneal shunt patients is associated with lower abdominal catheter complications: a single center experience.Langenbeck's archives of surgery · 2026Article
- Incidence and clinical predictors of postoperative ileus following non-abdominal surgery in Ethiopia: a prospective cohort study.Langenbeck's archives of surgery · 2025Article
- Analysis of risk factors of intracranial infection after microvascular decompression.Scientific reports · 2025Article
- The characteristics of surgical site infection with class I incision in neurosurgery.BMC surgery · 2025Article
- Viral immunological complications in neurological surgery: A comprehensive review of homeostatic disturbances and cognitive impairments.Surgical neurology international · 2025Review
- Neutrophil-to-Lymphocyte Ratio as a Prognostic Marker for Hospital-Acquired Infections in Neurosurgical Patients.Journal of inflammation research · 2025Article
- Diagnostic role of sonography in early detection and surgical intervention of an epidural abscess: A case report.Australasian journal of ultrasound in medicine · 2024Article
- Impact of water quality on reprocessing equipment: Assessment of neurosurgical instruments cleaning and biofilm formation in hospital pipes.Journal of infection prevention · 2024Article
- Comparison of surgical techniques for the treatment of chronic subdural hematomas: A single‑center case series.Experimental and therapeutic medicine · 2024Article
- Intraoperative Neurophysiological Monitoring for Intradural Extramedullary Spinal Tumours.Global spine journal · 2024Article
- Topical Vancomycin as a Tool for the Prevention of Surgical Site Infections in Cranial Neurosurgery: A Retrospective Cohort Study.Neurosurgery practice · 2023Article
- The impact of intraoperative MRI on cranial surgical site infections-a single-center analysis.Acta neurochirurgica · 2023Article
- Effect of preoperative hospital stay on surgical site infection in Chinese cranial neurosurgery.BMC neurology · 2023Observational
- Impact of COVID-19 Pandemic on Healthcare-Associated Infections: A Systematic Review and Meta-Analysis.Antibiotics (Basel, Switzerland) · 2023Review
- Surgical site infections after elective craniotomy for brain tumor: a study on potential risk factors and related treatments.Chinese neurosurgical journal · 2023Article
- Additive risk of surgical site infection from more than one risk factor following craniotomy for tumor.Journal of neuro-oncology · 2023Article
- Discontinuation of Postoperative Prophylactic Antibiotics for Endoscopic Endonasal Skull Base Surgery.Journal of neurological surgery. Part B, Skull base · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSurgical site infections (SSIs) are of profound significance in neurosurgical departments, resulting in high morbidity and mortality. There are limited public data regarding the incidence of SSIs in neurosurgery. The aim of this study was to determine the rate of SSIs (particularly those requiring reoperation) over a seven-year period and identify factors leading to an increased risk.
methodsAn age matched retrospective analysis was undertaken of a series of 16,513 patients at a single centre. All patients who required reoperation for suspected SSIs within a 7-year period were identified. Exclusion criteria comprised absence of infective material intraoperatively and patients presenting with primary infections. Clinical notes were reviewed to confirm presence or absence of suspected risk factors.
resultsOf the 16,513 patients in the study, 1.20% required at least one further operation to treat a SSI. Wound leak (odds ratio [OR]: 27.41), dexamethasone use (OR: 3.55), instrumentation (OR: 2.74) and operative duration >180 minutes (OR: 1.85) were statistically significant risk factors for reoperation.
conclusionsThis is the first UK study of such a duration that has documented a SSI reoperation rate in a cohort of this size. Various risk factors are associated with the development of SSIs, making it essential to have robust auditing and monitoring of high risk patients to ensure excellent standards of healthcare. Departmental and public registers to record all SSIs may be beneficial, particularly for those treated solely by general practitioners, allowing units to address potential risk factors prior to surgical intervention.
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