Evaluation of Postoperative meningitis in Neurosurgery
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 6
Abstract
Introduction : The most dreaded cause of morbidity and mortality in Neurosurgery is meningitis. The reported incidence of postoperative meningitis is variable (0.5-8%)1-5 . Materials and Methods : The study includes all patients who underwent neurosurgery over a period of 4 years (2014 to 2017). Patients with culture positive meningitis were included for analysis. Results : Of the 1080 patients, who underwent neurosurgical procedure during this study period, 32 patients developed infection. The overall incidence of meningitis was 3%. The incidence of meningitis was high (8%) in patients who had a pre-existing infection like post pyogenic meningitis or tubercular hydrocephalus. Nonlactose fermenting Gram negative bacillus followed by pseudomonas and klebsiella species are the most common organisms causing meningitis. The overall mortality in patients with meningitis was 5.5%. Conclusion : Meningitis remains one of the most dreaded complications in Neurosurgical procedures. Gram negative organisms are the most common causative pathogen.
Authors and Affiliations
Dr. Nani Sen
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