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Surgical Site Infections in Patients with Traumatic Brain Injury Miwa KIYOHIRA 1 , Eiichi SUEHIRO 2 1Department of Neurosurgery, Shinyurigaoka General Hospital 2Department of Neurosurgery, International University of Health and Welfare, School of Medicine Keyword: 頭部外傷 , 手術創部感染症 , 汚染創 , 感染管理 , traumatic brain injury , surgical site infection , contaminated wound , infection control in traumatic brain injury pp.1053-1060
Published Date 2022/9/10
DOI https://doi.org/10.11477/mf.1436204665
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 Patients with traumatic brain injury(TBI)have various pathological conditions, such as direct cell destruction by external force, compression by hematoma, vascular injury, ischemia, complicated hypoxia, and hypotension. These pathological conditions occur simultaneously at the time of injury. In some cases, contaminated wounds may be treated, and infection patterns different from the scheduled neurosurgical cases should be managed.

 In cases of severe TBI, immunocompromised patients are considered to be at high risk of infection. Infection control during the initial stage of treatment affects patient prognosis. In addition, large craniotomy, including decompressive craniectomy, is required to manage intracranial pressure(ICP), which causes skin infection due to delayed wound healing. Furthermore, placement of drainage tubes and transducers for a long period of time might be necessary to manage ICP, and the patient is likely to develop surgical site infection(SSI).

 In this paper, we describe the characteristic surgical procedure and discuss ways to control SSI in TBI cases.


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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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