dc.contributor.author |
Maskin, Luis Patricio |
|
dc.contributor.author |
Noya, Santiago Ezequiel |
|
dc.contributor.author |
Caffaratti, Guido |
|
dc.contributor.author |
Echarri, María Martina |
|
dc.contributor.author |
Hlavnicka, Alejandro Félix |
|
dc.contributor.author |
Cervio, Andrés Eduardo |
|
dc.date.accessioned |
2024-05-06T14:24:36Z |
|
dc.date.available |
2024-05-06T14:24:36Z |
|
dc.date.issued |
2024-04-02 |
|
dc.identifier.citation |
Maskin LP, Noya SE, Caffaratti G, Echarri MM, Hlavnicka AF, Cervio AE. Impact of the lumbar catheter on the incidence of post-surgical meningitis in the endoscopic endonasal approach. J Neurol Surg B Skull 2024. April 2. doi:10.1055/a-2298-0898. |
es_ES |
dc.identifier.uri |
https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2298-0898 |
|
dc.identifier.uri |
https://repositorio.fleni.org.ar/xmlui/handle/123456789/1108 |
|
dc.description.abstract |
Objectives: Endoscopic endonasal approach (EEA) procedures are inherently contaminated due to direct access through the nasopharyngeal mucosa. The reported rate of postoperative meningitis in EEA procedures is between 0.7%-10%. Lumbar catheters are used in EEA surgeries to prevent cerebrospinal fluid (CSF) fistulae, but its use is associated with increase infection rates. This study investigated whether there is a difference in rates of postoperative meningitis based on lumbar catheter utilization. Methods: We performed a retrospective review of consecutive patients who underwent EEA surgeries between January 2016 and March 2023 at single-institution (FLENI). Main outcome: Incidence of meningitis following EEA surgery with lumbar catheter. Results: seventy-two patients were enrolled, median age was 44 years, and 53% were female. Most frequent surgery performed was craniopharyngioma 46% (26 patients). Lumbar catheter was used in twenty-eight patients. Meningitis was diagnosis in 11 of 72 patients (15.2%), being higher in the lumbar catheter group (10 patients). The odds ratio for the development of meningitis in the presence of a lumbar catheter was 23.38 (95% confidence interval, 2.77-123.78; p < 0.004). There was no statistical difference in reported incidence of meningitis when CSF leak was present. Conclusions: This study demonstrates an extremely high incidence of meningitis (36%) following EEA procedures when lumbar catheter is used. The incidence of meningitis was not significantly associated with CSF leak in our cohort. |
es_ES |
dc.language.iso |
eng |
es_ES |
dc.publisher |
Thieme |
es_ES |
dc.subject |
Meningitis |
es_ES |
dc.subject |
Catéteres |
es_ES |
dc.subject |
Catheters |
es_ES |
dc.subject |
Neurocirugía |
es_ES |
dc.subject |
Neurosurgery |
es_ES |
dc.subject |
Procedimientos Neuroquirúrgicos |
|
dc.subject |
Neurosurgical Procedures |
|
dc.title |
Impact of the lumbar catheter on the incidence of post-surgical meningitis in the endoscopic endonasal approach. |
es_ES |
dc.type |
info:eu-repo/semantics/article |
es_ES |
dc.description.fil |
Fil: Noya, Santiago Ezequiel. Fleni. Departamento de Medicina Interna. Servicio de Terapia Intensiva; Argentina. |
|
dc.description.fil |
Fil: Echarri, María Martina. Fleni. Departamento de Medicina Interna. Servicio de Terapia Intensiva; Argentina. |
|
dc.description.fil |
Fil: Hlavnicka, Alejandro Félix. Fleni. Departamento de Medicina Interna. Servicio de Terapia Intensiva; Argentina. |
|
dc.description.fil |
Fil: Caffaratti, Guido. Fleni. Departamento de Neurocirugía; Argentina. |
|
dc.description.fil |
Fil: Cervio, Andrés Eduardo. Fleni. Departamento de Neurocirugía; Argentina. |
|
dc.relation.ispartofCOUNTRY |
Alemania |
|
dc.relation.ispartofCITY |
Stuttgart |
|
dc.relation.ispartofTITLE |
Journal of neurological surgery. Part B, Skull base |
|
dc.relation.ispartofISSN |
2193-634X |
|
dc.type.snrd |
info:ar-repo/semantics/artículo |
es_ES |