Naslov
CRP as an early predictor of neurosurgical site infections.

Autori
Smiljanić, Danko

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Book of abstracts 4th Congress of the Croatian Neurosurgical Society / - , 2005

Skup
4th Congress of the Croatian Neurosurgical Society

Mjesto i datum
Zagreb, Hrvatska, 09.11.2005. - 12.11.2005

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
CRP; infections; neurosurgery

Sažetak
The aim of this prospective ongoing study is to establish the role of C-resctive protein (CRP) as an early predictor of onset of infection in postoperative course in neurosurgical patients. From January 1st 2004 to December 31st author has performed 209 neurosurgical procedures: 20 brain tumors, 15 craniocerebral injuries, 11 shunt procedures, 16 other procedures in intracranial space, 5 tumors of the spinal canal, 56 operations of stenosis of lumbar spinal canal associated with disc hernia and 86 lumbar microdiscectomies. Six patient suffered postoperative infections: 3 superfitial infections (1 subgaleal abscess after removal of frontal meningeoma, 2 subcutaneous infections after microdiscectomies) and 3 deep, organ related infections (2 cases of sponylodiscitis and 1 brain abscess after removal of colloid cyst and shunt procedure). In all patients body temperature, white blood cells (WBC) count and CRP were measured twice a day, starting from the morning before transfering the patient to the operating theatre until the 5th postoperative day. Intraoperative smear of the wound before the closure was taken in all surgical procedures. In all patients some degree of CRP elevation was noticed and when it was not associated with infection values ranged from 11 up to 35 (normal 10). In all six patients with infections significant rise of CRP was measured ranging from 63, 8 go as high as 295 in one patient with meningitis after lumbar microdiscectomy. The rise of CRP was noticed in three patients with normal body WBC count and normal body temperature which facilitated early recogntion of onset of infection and early treatment with antibiotics. The conclusion is that measurements of CRP twice a day is helpfull in recognizing the onset of infection in neurosurgical patient even when body temperature and WBC count are still normal.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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