This review highlights the importance of evidence-based infection control and targeted antibiotic prophylaxis to reduce nosocomial infections in neurosurgical practice.
May inform prophylaxis selection in neurosurgery; leaves open prospective validation amid evolving resistance.
In this review article currently available data on the prevention of nosocomial infections at neurosurgical patients were discussed in accordance to the principles evidence-based medicine. The large attention was given to basic groups of nosocomial infections — postoperative craniocerebral inflammatory complications, including the surgical site infection, and extracranial complications — pneumonia, intravascular device-related infection, urinary tract infection. A method of classifying of neurosurgical operations was submitted to identify patients at the highest risk of developing the nosocomial infections and effective regimens of the antimicrobial prophylaxis. In connection with absence of the National antiepidemic Programs and argued practice guidelines on the given problem the material deserves attentive study and introduction in the neurosurgical practice.
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Zozulya et al. (2008) studied this question.
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