Clinical features, laboratory data, management and the risk factors that affect the mortality in patients with postoperative meningitis

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dc.authorid0000-0003-1444-7076
dc.authorid0000-0002-4983-6613
dc.authorid0000-0003-1444-7076
dc.authorscopusid6602163658
dc.authorscopusid6602351757
dc.authorscopusid6506778903
dc.authorscopusid8398255800
dc.authorscopusid36572578500
dc.authorscopusid8570338100
dc.authorscopusid7006006212
dc.authorwosidHakan, Tayfun/O-9979-2019
dc.authorwosidSenbayrak, Seniha/AAC-4284-2019
dc.authorwosidHakan, Tayfun/P-8626-2015
dc.contributor.authorErdem, İlknur
dc.contributor.authorHakan, Tayfun
dc.contributor.authorCeran, Nurgül
dc.contributor.authorMetin, Fatma
dc.contributor.authorAkçay, Seniha Şenbayrak
dc.contributor.authorKüçükercan, Metin
dc.contributor.authorGöktaş, Paşa
dc.date.accessioned2022-05-11T14:37:20Z
dc.date.available2022-05-11T14:37:20Z
dc.date.issued2008
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Enfeksiyon Hastalıkları Ana Bilim Dalı
dc.description.abstractBackground: Nosocomial meningitis is a rare complication following neurosurgical procedures and is associated with high morbidity and mortality. Aim: The aim of this study was to describe the clinical characteristics and the risk factors associated with mortality in patients who developed nosocomial meningitis following neurosurgical operations. Setting and design: Tertiary care hospital and an observational study. Materials and Methods: The study subjects included 2265 patients who underwent various neurosurgical operations during 2003-05. The diagnosis of nosocomial meningitis was based on the Center for Disease Control criteria. Statistical analysis: It was performed by using Statistical Package for Social Sciences for Windows 10.0 program. Results: The incidence of postoperative nosocomial meningitis was 2.7% (62 episodes in 49 patients among 2265 patients operated). Staphylococcus aureus and Acinetobacter spp. were the most frequently isolated pathogens. Of the 49 with meningitis 20 (40.8%) patients died. In the logistic regression analysis model, Glascow coma scale score less than 10 (Odds Ratio (OR): 19.419, 95% Confidence Interval (CI); 1.637-230.41, P = 0.001), and low cerebrospinal fluid glucose level (= 30 mg/dL) (OR: 10.272, 95% CI; 1.273-82.854, P= 0.002), and presence of concurrent nosocomial infection (OR: 28.744, 95% CI; 1.647-501.73, P= 0.001) were the independent risk factors associated with mortality. Conclusion: The mortality in patients who developed meningitis was high. The high percentage of concurrent nosocomial infections was associated with a high mortality rate which was a serious problem.
dc.identifier.doi10.4103/0028-3886.44629
dc.identifier.endpage437
dc.identifier.issn0028-3886
dc.identifier.issn1998-4022
dc.identifier.issue4en_US
dc.identifier.pmid19127038
dc.identifier.scopus2-s2.0-58749113071
dc.identifier.scopusqualityQ3
dc.identifier.startpage433
dc.identifier.urihttps://doi.org/10.4103/0028-3886.44629
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8663
dc.identifier.volume56
dc.identifier.wosWOS:000262656100007
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorErdem, İlknur
dc.language.isoen
dc.publisherWolters Kluwer Medknow Publications
dc.relation.ispartofNeurology India
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectMeningitis
dc.subjectmortality
dc.subjectneurosurgery
dc.subjectnosocomial
dc.subjectpostoperative
dc.subjectNosocomial Bacterial-Meningitis
dc.subjectSite Infections
dc.subjectAdults
dc.subjectNeurosurgery
dc.subjectMulticenter
dc.subjectCraniotomy
dc.titleClinical features, laboratory data, management and the risk factors that affect the mortality in patients with postoperative meningitis
dc.typeArticle

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