Postoperative infection after cranioplasty in traumatic brain injury: a single center experience
Purpose To determine the incidence and risk factors of postoperative infection after cranioplasty in patients with traumatic brain injury (TBI). Methods Data of 289 adult patients who underwent cranioplasty after TBI at a single regional trauma center between year 2018 and 2021 were reviewed retrosp...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2022-12-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2022-0043.pdf |
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| author | Mahnjeong Ha Jung Hwan Lee Hyuk Jin Choi Byung Chul Kim Seunghan Yu |
| author_facet | Mahnjeong Ha Jung Hwan Lee Hyuk Jin Choi Byung Chul Kim Seunghan Yu |
| author_sort | Mahnjeong Ha |
| collection | DOAJ |
| description | Purpose To determine the incidence and risk factors of postoperative infection after cranioplasty in patients with traumatic brain injury (TBI). Methods Data of 289 adult patients who underwent cranioplasty after TBI at a single regional trauma center between year 2018 and 2021 were reviewed retrospectively. Patient characteristics and various procedural variables, such as interval between craniectomy and cranioplasty, estimated blood loss, laterality and materials of the bone flap, and duration and classification of perioperative antibiotics usage were analyzed. Results Postoperative infection occurred in 17 patients (5.9%). Onset time of infectious symptom ranged from 9 days to 174 days (median, 24 days) after cranioplasty. The most common cultured organism was Staphylococcus aureus (47.1%), followed by Klebsiella pneumoniae (17.6%) and Enterococcus faecalis (17.6%). Patients with postoperative infection were more likely to have diabetes (odds ratio [OR], 6.96; 95% confidence interval [CI], 1.92–25.21; P=0.003), lower body mass index (OR, 0.81; 95% CI, 0.66–0.98; P=0.029), and shorter duration of perioperative antibiotics (OR, 0.83; 95% CI, 0.71–0.98; P=0.026). Conclusions For TBI patients with diabetes, poor nutritional status should be managed cautiously for increased risk of infection after cranioplasty. Further studies and discussions are needed to determine an appropriate antibiotics protocol in cranioplasty. |
| format | Article |
| id | doaj-art-60a8340ed1fa49a7b0ddeff71c25d727 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-60a8340ed1fa49a7b0ddeff71c25d7272025-01-16T04:54:53ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-12-0135425526010.20408/jti.2022.00431223Postoperative infection after cranioplasty in traumatic brain injury: a single center experienceMahnjeong Ha0Jung Hwan Lee1Hyuk Jin Choi2Byung Chul Kim3Seunghan Yu4 Medical Research Institute, Department of Neurosurgery, Pusan National University Hospital, Busan, Korea Medical Research Institute, Department of Neurosurgery, Pusan National University Hospital, Busan, Korea Medical Research Institute, Department of Neurosurgery, Pusan National University Hospital, Busan, Korea Medical Research Institute, Department of Neurosurgery, Pusan National University Hospital, Busan, Korea Medical Research Institute, Department of Neurosurgery, Pusan National University Hospital, Busan, KoreaPurpose To determine the incidence and risk factors of postoperative infection after cranioplasty in patients with traumatic brain injury (TBI). Methods Data of 289 adult patients who underwent cranioplasty after TBI at a single regional trauma center between year 2018 and 2021 were reviewed retrospectively. Patient characteristics and various procedural variables, such as interval between craniectomy and cranioplasty, estimated blood loss, laterality and materials of the bone flap, and duration and classification of perioperative antibiotics usage were analyzed. Results Postoperative infection occurred in 17 patients (5.9%). Onset time of infectious symptom ranged from 9 days to 174 days (median, 24 days) after cranioplasty. The most common cultured organism was Staphylococcus aureus (47.1%), followed by Klebsiella pneumoniae (17.6%) and Enterococcus faecalis (17.6%). Patients with postoperative infection were more likely to have diabetes (odds ratio [OR], 6.96; 95% confidence interval [CI], 1.92–25.21; P=0.003), lower body mass index (OR, 0.81; 95% CI, 0.66–0.98; P=0.029), and shorter duration of perioperative antibiotics (OR, 0.83; 95% CI, 0.71–0.98; P=0.026). Conclusions For TBI patients with diabetes, poor nutritional status should be managed cautiously for increased risk of infection after cranioplasty. Further studies and discussions are needed to determine an appropriate antibiotics protocol in cranioplasty.http://jtraumainj.org/upload/pdf/jti-2022-0043.pdfcraniotomyinfectionsbrain injuries |
| spellingShingle | Mahnjeong Ha Jung Hwan Lee Hyuk Jin Choi Byung Chul Kim Seunghan Yu Postoperative infection after cranioplasty in traumatic brain injury: a single center experience Journal of Trauma and Injury craniotomy infections brain injuries |
| title | Postoperative infection after cranioplasty in traumatic brain injury: a single center experience |
| title_full | Postoperative infection after cranioplasty in traumatic brain injury: a single center experience |
| title_fullStr | Postoperative infection after cranioplasty in traumatic brain injury: a single center experience |
| title_full_unstemmed | Postoperative infection after cranioplasty in traumatic brain injury: a single center experience |
| title_short | Postoperative infection after cranioplasty in traumatic brain injury: a single center experience |
| title_sort | postoperative infection after cranioplasty in traumatic brain injury a single center experience |
| topic | craniotomy infections brain injuries |
| url | http://jtraumainj.org/upload/pdf/jti-2022-0043.pdf |
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