Infecțiile de situs chirurgical în craniotomiile deschise – un reviu narativ al literaturii
Keywords:
infecții de situs chirurgical, craniotomiedeschisă, complicații neurochirurgicaleAbstract
Craniotomiile deschise sunt intervenții chirurgicale moderne care, desi prezintă rate înalte de complicații, inclusiv infecții postoperatorii, rămân a fi opțiuni optime datorită rezultatelor chirurgicale favorabile. Aceste proceduri sunt frecvent utilizate în combinație cu alte metode pentru a amplifi ca efi cacitatea terapeutică. O revizie critică a 191 de surse a fost efectuată, identifi când 64 de studii publicate între 2014 și 2024 care îndeplineau criteriile stricte de includere/excludere. Ulterior, au fost incluse în studiu 3 surse suplimentare. Metodele elective, alături de craniotomia deschisă, au fost recunoscute ca opțiuni de tratament de încredere pentru afecțiunile neurochirurgicale. Riscul de infecții de situs chirurgical (ISC) este infl uențat în mod principal de factori precum anomalii anatomice și prezența speciilor de bacterii rezistente la tratament. Progresele științifi ce în domeniul ingineriei antibioticelor au scopul de a oferi opțiuni de tratament efi ciente pentru aceste infecții. ISC reprezintă o considerație critică pentru toate craniotomiile deschise, indiferent de metoda de tratament adițional utilizată.
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