[Postoperative infection following craniotomy in adults].
OBJECTIVE
The aim of this study was to determine the risk factors for postoperative infection after craniotomy, a threat for the vital prognosis, in order to define specific prevention measures.


METHODS
An open prospective study was made on all adult patients undergoing craniotomy and followed 30 days postoperatively. The infections were defined according to CDCA criteria. The parameters studied were: age, sex, ASA and Glasgow scores, neurosurgical history, the type, the moment and the surface of shaving, antibioprophylaxis, and the type and duration of surgery as well as its emergency level.


RESULTS
One hundred and seventy patients were included. Thirty presented with an infection (17.6%), nine with a skull infection, 13 with meningitis, three with empyema, and two with osteitis. The risk factors identified thanks to a univariate analysis were the emergency level of surgery (P < 0.01), duration of surgery >200 min, and duration of stay in ICU >72 h (P < 0.02).
Idali
B
B
Service d'anesthésie-réanimation, CHU Ibn-Rochd, Casablanca, Maroc.
Lahyat
B
B
Khaleq
K
K
Ibahioin
K
K
El Azhari
A
A
Barrou
L
L
D000038:Abscess / Q000453:epidemiology; D000293:Adolescent; D000328:Adult; D000368:Aged; D003399:Craniotomy; D017558:Elective Surgical Procedures / Q000706:statistics & numerical data; D004630:Emergencies; D004653:Empyema / Q000453:epidemiology; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D015994:Incidence; D007432:Intraoperative Period; D007902:Length of Stay; D008297:Male; D008581:Meningitis / Q000453:epidemiology; D008875:Middle Aged; D009018:Morocco / Q000453:epidemiology; D010000:Osteitis / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology*; D011446:Prospective Studies; D011997:Recovery Room / Q000706:statistics & numerical data; D012307:Risk Factors; D012536:Scalp Dermatoses / Q000453:epidemiology; D012874:Skin Diseases, Infectious / Q000453:epidemiology; D013530:Surgical Wound Infection / Q000453:epidemiology