Neurological Surgery 脳神経外科50巻5号

2022年09月発行

特集 感染症—脳神経外科医のためのエッセンス Ⅱ脳神経外科領域におけるSSIとその予防・対策

一般開頭術におけるSSI

著者： 長谷川洋敬¹ 齊藤延人¹

所属機関： ¹東京大学医学部脳神経外科

ページ範囲：P.1008 - P.1016

Point
・術後30日以内の創部を巻き込む感染を手術部位感染（SSI）と呼ぶ．
・開頭術後のSSI発生率は2〜8%程度である．
・深部SSIでは広域抗菌薬使用を視野に入れ，感染箇所・形態把握，原因菌同定，感染源の外科的除去，長期抗菌薬加療が治療の中核となる．
・SSI低減に向けてリスク因子を理解し，evidence-basedな取り組みを行っていくことが肝要である．

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