Experience on antibiotic-impregnated beads for intracranial epidural infection combined with osteomyelitis

Surgical site infection (SSI) after craniotomy may lead to devastating outcomes. The traditional management guidelines on SSI after craniotomy have stressed the use of prolonged intravenous (IV) administration of culture-specific antibiotics with concomitant removal of the infected autologous bone a...

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Bibliographic Details
Main Authors: Moon-Jun Sohn, Hae-Won Koo
Format: Article
Language:English
Published: Elsevier 2021-03-01
Series:Interdisciplinary Neurosurgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214751920305971
Description
Summary:Surgical site infection (SSI) after craniotomy may lead to devastating outcomes. The traditional management guidelines on SSI after craniotomy have stressed the use of prolonged intravenous (IV) administration of culture-specific antibiotics with concomitant removal of the infected autologous bone and drainage of abscess. However, long-term use of antibiotics can cause problems, such as hepatotoxicity and nephrotoxicity, and can increase social and economic burdens. Here, we first reported three cases of postcraniotomy epidural abscess that were successfully treated by polymethyl methacrylate mixed with antibiotics and concomitant systemic antibiotic use.
ISSN:2214-7519