Prevention and cure of intracranial infections following posterior fossa craniotomy
10.3760/cma.j.issn.1673-4904.2010.14.007
- VernacularTitle:后颅窝开颅术后颅内感染的预防及治疗
- Author:
Yongchun LUO
;
Jiazhen QIN
;
Hongtian ZHANG
;
Yiwu DAI
;
Ruxiang XU
;
Yunjun LI
- Publication Type:Journal Article
- Keywords:
Cranial fossa,posterior;
Infection;
Therapy
- From:
Chinese Journal of Postgraduates of Medicine
2010;33(14):16-18
- CountryChina
- Language:Chinese
-
Abstract:
Objective For decreasing the infected rate,the prevention and cure methods of intracranial infections following posterior fossa craniotomy were study. Methods Twenty-eight patients with the intracranial infections following posterior fossa craniotomy were examined by lumbar puncture,and analyzed cerebrospinal fluid with routine examination and reference to the bacteriological data and drug sensitive tests. All the patients were treated with high dosage sensitive antibiotics, and draining continually the infected cerebrospinal fluid by lumbar puncture catheterization and injected small dosages of antibiotics into intraspinal for most cases. Results Twenty-eight patients had intracranial hypertension by lumbar puncture examination, outcome of cerebrospinal fluid culture indicated that 17 cases had bacteria growth and 11 cases had no bacteria. The intracranial infection was controlled effectively,and 96.4%(27 cases) were cured, 1 case dead of systemic failure. Conclusions Strict aseptic techniques,reduce operative time,decrease intracranial place of foreign matters, such as gelfoam, hemostatic gauze and artificial implants, could reduce the possibilities of intracranial infections. Appropriate antibiotics selection,lumbar puncture catheterization and intraspinal administration of antibiotics can cure intracranial infections effectively.
