Antibiotic prophylaxis during prolonged clean neurosurgery: Results of a randomized double-blind study using oxacillin

作者: Michel Djindjian , Elisabeth Lepresle , Jean-Bernard Homs

DOI: 10.3171/JNS.1990.73.3.0383

关键词:

摘要: The efficacy of oxacillin as a prophylaxis for infection was analyzed in 27-month randomized double-blind study 400 patients who had undergone clean neurosurgical interventions lasting longer than 2 hours. Four neurosurgeons took part the and 356 were eligible final analysis. Among 171 treated with oxacillin, there one case (0.6%), compared to nine (4.9%) 185 given placebo. difference between two groups statistically significant (p = 0.0398). This study, together others (randomized or not), clearly demonstrates antibiotic prolonged neurosurgery.

参考文章(23)
M. Djindjian, M.J. Fevrier, G. Otterbein, J.C. Soussy, Oxacillin prophylaxis in cerebrospinal fluid shunt procedures: results of a randomized open study in 60 hydrocephalic patients. Surgical Neurology. ,vol. 25, pp. 178- 180 ,(1986) , 10.1016/0090-3019(86)90290-9
R. Lewis Wright, A survey of possible etiologic agents in postoperative craniotomy infections. Journal of Neurosurgery. ,vol. 25, pp. 125- 132 ,(1966) , 10.3171/JNS.1966.25.2.0125
Bruno Van Ek, Ben A. C. Dijkmans, Hans Van Dulken, Ralph Van Furth, Antibiotic Prophylaxis in Craniotomy: A Prospective Double-blind Placebo-controlled Study Scandinavian Journal of Infectious Diseases. ,vol. 20, pp. 633- 639 ,(1988) , 10.3109/00365548809035664
Martin H. Savitz, Sheldon S. Katz, Prevention of primary wound infection in neurosurgical patients: a 10-year study. Neurosurgery. ,vol. 18, pp. 685- 688 ,(1986) , 10.1227/00006123-198606000-00001
Ross Bullock, James R. van Dellen, William Ketelbey, S. Gustav Reinach, A double-blind placebo-controlled trial of perioperative prophylactic antibiotics for elective neurosurgery. Journal of Neurosurgery. ,vol. 69, pp. 687- 691 ,(1988) , 10.3171/JNS.1988.69.5.0687
L. A. Quadery, A. V. Medlery, J. Miles, Factors affecting the incidence of wound infection in Neurosurgery. Acta Neurochirurgica. ,vol. 39, pp. 133- 141 ,(1977) , 10.1007/BF01406722
Stephen J Haines, None, Efficacy of Antibiotic Prophylaxis in Clean Neurosurgical Operations Neurosurgery. ,vol. 24, pp. 401- 405 ,(1989) , 10.1227/00006123-198903000-00016