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| surgical_antibiotic_prophylaxis_in_neurosurgery [2024/08/20 10:57] – created - external edit 127.0.0.1 | surgical_antibiotic_prophylaxis_in_neurosurgery [2025/07/07 17:16] (current) – administrador | ||
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| - | ~~SLIDESHOW~~ | ||
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| ====== Surgical antibiotic prophylaxis in Neurosurgery ====== | ====== Surgical antibiotic prophylaxis in Neurosurgery ====== | ||
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| ((Zheng G, Shi Y, Sun J, Wang S, Li X, Lv H, Zhang G. Effect of [[antibiotic prophylaxis]] in the [[prognosis]] of [[Post-neurosurgical meningitis]] [[patient]]s. Eur J Med Res. 2023 Oct 4; | ((Zheng G, Shi Y, Sun J, Wang S, Li X, Lv H, Zhang G. Effect of [[antibiotic prophylaxis]] in the [[prognosis]] of [[Post-neurosurgical meningitis]] [[patient]]s. Eur J Med Res. 2023 Oct 4; | ||
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| ===== Choice ===== | ===== Choice ===== | ||
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| Weight-Based Dosing: The dose of the antibiotic may be adjusted based on the patient' | Weight-Based Dosing: The dose of the antibiotic may be adjusted based on the patient' | ||
| Renal Function: Dosage adjustments may also be necessary for patients with impaired renal function to avoid toxicity. | Renal Function: Dosage adjustments may also be necessary for patients with impaired renal function to avoid toxicity. | ||
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| ===== Selection ===== | ===== Selection ===== | ||
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| [[Duration]]: | [[Duration]]: | ||
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| Local Resistance Patterns: Knowledge of local bacterial resistance patterns is essential to guide the selection of appropriate antibiotics. Hospitals may have guidelines or protocols in place to help healthcare providers make informed decisions. | Local Resistance Patterns: Knowledge of local bacterial resistance patterns is essential to guide the selection of appropriate antibiotics. Hospitals may have guidelines or protocols in place to help healthcare providers make informed decisions. | ||
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| It's important to note that antibiotic prophylaxis is not recommended for all surgical procedures. It is generally reserved for procedures associated with a higher risk of infection, such as clean-contaminated and contaminated surgeries. The decision to use prophylactic antibiotics should be based on a thorough assessment of the specific surgical context and patient characteristics. | It's important to note that antibiotic prophylaxis is not recommended for all surgical procedures. It is generally reserved for procedures associated with a higher risk of infection, such as clean-contaminated and contaminated surgeries. The decision to use prophylactic antibiotics should be based on a thorough assessment of the specific surgical context and patient characteristics. | ||
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| Perioperative [[antibiotic prophylaxis]] refers to the administration of antibiotics to patients before, during, and sometimes after surgery to prevent surgical site infections (SSIs). These infections are one of the most common complications after surgery and can lead to increased morbidity, extended hospital stays, and additional healthcare costs. The goal of perioperative antibiotic prophylaxis is to reduce the risk of infection by ensuring adequate levels of antibiotics in the tissues at the time of potential contamination. | Perioperative [[antibiotic prophylaxis]] refers to the administration of antibiotics to patients before, during, and sometimes after surgery to prevent surgical site infections (SSIs). These infections are one of the most common complications after surgery and can lead to increased morbidity, extended hospital stays, and additional healthcare costs. The goal of perioperative antibiotic prophylaxis is to reduce the risk of infection by ensuring adequate levels of antibiotics in the tissues at the time of potential contamination. | ||
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| ((http:// | ((http:// | ||
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| - | [[Double gloving]] is the practice of wearing two layers of medical gloves to reduce the danger of infection from glove failure or penetration of the gloves by sharp objects during medical procedures. A systematic review of the literature has shown double gloving to offer significantly more protection against inner glove perforation in surgical procedures compared to the use of a single glove layer | + | |
| - | ((Tanner, J; Parkinson, H (2002). " | + | |
| - | ((Tanner, J; Parkinson, H (2006). " | + | |
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| The local application of powdered [[vancomycin]] was not associated with a significant difference in the rate of deep SSI after spinal deformity surgery, and other treatment modalities are necessary to limit infection for this high-risk group. This study is in contrary to prior studies, which have reported a decrease in SSI with vancomycin powder.Level of Evidence: 2 ((Martin JR, Adogwa O, Brown CR, Bagley CA, Richardson WJ, Lad SP, Kuchibhatla | The local application of powdered [[vancomycin]] was not associated with a significant difference in the rate of deep SSI after spinal deformity surgery, and other treatment modalities are necessary to limit infection for this high-risk group. This study is in contrary to prior studies, which have reported a decrease in SSI with vancomycin powder.Level of Evidence: 2 ((Martin JR, Adogwa O, Brown CR, Bagley CA, Richardson WJ, Lad SP, Kuchibhatla | ||