Surgical site infections in open craniotomy – a narrative literature review

Dan Croitoru; Victor Andronachi; Sergiu Visnevschi; Ecaterina Pavlovschi

Autori

Dan Croitoru Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“ https://orcid.org/0000-0002-8915-0157
Victor Andronachi Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“ https://orcid.org/0009-0007-5884-1776
Sergiu Visnevschi Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“ https://orcid.org/0000-0002-0950-1720
Ecaterina Pavlovschi Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“ https://orcid.org/0000-0003-0385-4805

Cuvinte cheie:

Surgical site infections, open craniotomy, neurosurgicalcomplications

Rezumat

Open craniotomies are modern surgical interventions that, despite their high complication rates, including postoperative infections, remain a reliable choice due to their favorable surgical outcomes. Th ey are oft en used in conjunction with other methods to enhance treatment effi cacy. A critical review of 191 sources was conducted, identifying 64 relevant studies published between 2014 and 2024 that met stringent inclusion/ exclusion criteria. Aft erwards 3 additional selective studies were included in the review. Elective methods, in conjunction with open craniotomies, have been found to be reliable treatment options for neurosurgical conditions. Th e risk of surgical site infections (SSIs) is primarily infl uenced by factors such as anatomical anomalies and the presence of highly resistant bacterial species. Advances in antibiotic engineering are aimed at providing eff ective treatment options for these infections. SSIs are critical considerations in every open craniotomy, irrespective of the additional treatment methods employed.

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Surgical site infections in open craniotomy – a narrative literature review

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