脳神経外科各領域における術後感染予防抗菌薬適正使用のための実践ガイドライン

Practical Guidelines for the Appropriate Use of Antimicrobial Agents for Prevention of Surgical Site Infection in Various Neurosurgical Fields

Point

・わが国の脳神経外科手術では，周術期手術部位感染に対しガイドラインが遵守されていない施設もあり周知と対策が必要である．

・脳神経外科領域の『術後感染予防抗菌薬適正使用のための実践ガイドライン』が発行された．

・術後感染予防抗菌薬の投与はできる限り24時間以内とし，長くても48時間は超えないようにする．

　Preoperative shaving and disinfection; postoperative wound care; and preoperative, intraoperative, and postoperative antibiotic use are the main methods used to prevent perioperative surgical site infection（SSI）; however, a survey of neurosurgeons in Japan did not indicate that these guidelines were followed.

　There are several types of surgical procedures in the field of neurosurgery, including implant insertion, with little evidence of use of antimicrobial agents in such surgeries. Hence, there had been no guidelines for antimicrobial use in neurosurgery in Japan. However, practice guidelines for the appropriate use of antimicrobial agents for the prevention of postoperative infection in neurosurgery were published in 2020 and are discussed in this section.