Intracranial infectious complications in patients with combined traumatic brain injury
https://doi.org/10.52888/0514-2515-2024-363-4-65-69
Abstract
Aim. To describe the structure of infectious complications and determine the risk of their formation in patients with combined TBI.
Material and methods. The study was conducted at the Department of Neurosurgery and Combined Trauma of the Avicenna Tajik State Medical University at the State Medical Centre “Shifobakhsh” from 2020 to 2024. Participants were included according to the following criteria: hospitalisation in a national medical institution in the first 72 hours after TBI, age between 18 and 75 years, and stay in the intensive care unit (ICU) for more than 48 hours. A total of 124 patients with TBI were included.
Research results. The acute phase of TBI is characterized by a significant prevalence of intracranial infectious complications, observed in 16% of cases. The most common infectious complication was meningitis, found in 18.7% of patients. The highest frequency of infectious complications was found in patients with category 4-8 intracranial injuries.
Conclusion. Combined traumatic brain injury is associated with a high incidence of infectious complications, which were detected in 18.6% of study participants.
About the Authors
S. R. NaimovTajikistan
Dushanbe
Kh. J. Rakhmonov
Tajikistan
Dushanbe
D. D. Kositov
Tajikistan
Kositov Dilovar Davronjonovich - PhD candidate, Department of Neurosurgery and Combined Trauma
E. S. Husainov
Tajikistan
References
1. Dryagina N.V., Kondrateva E.A., Kondratev S.A. Chastota infektsionnykh oslozhneniy i osobennosti sistemnogo vospalitelnogo otveta u bolnykh s dlitelnym narusheniem soznaniya [Frequency of infectious complications and features of systemic inflammatory response in patients with prolonged impairment of consciousness]. Zhurnal infektsiologii - Journal Infectology, 2020, Vol. 12, No. 5, pp. 21-28.
2. Ignateva N.S. Cherepno-mozgovaya travma: fazy vosstanovleniya kontakta s soboy i mirom i ekzistentsialno-analiticheskaya rabota [Brain injury: phases of re-establishing contact with self and the world and existential-analytical work]. Voprosy neyrokhirurgii - Burdenko’s Journal of Neurosurgery, 2019, No. 1, pp. 83-90.
3. Yrysov K.B., Alibaeva G.Zh., Kalykov T.S. Chastota i faktory riska razvitiya infektsii v oblasti khirurgicheskogo vmeshatelstva pri neyrokhirurgicheskikh operatsiyakh [Frequency and risk factors for surgical site infection in neurosurgical operations]. Nauchnoe obozrenie. Meditsinskie nauki - Scientific Review. Medical Sciences, 2021, No. 3, pp. 40-44.
4. Potapov A.A., Krylov V.V., Gavrilov A.G. Rekomendatsii po diagnostike i lecheniyu tyazheloy cherepno-mozgovoy travmy [Recommendations for the diagnosis and treatment of severe brain injury]. Voprosy neyrokhirurgii im. N.N. Burdenko - Burdenko’s Journal of Neurosurgery, 2016, Vol. 80, No. 1, pp. 98-106.
5. Kourbeti I.S., Vakis A.F., Papadakis J.A. Infections in traumatic brain injury patients. Clinical Microbiology and Infection, 2012, No. 18(4), pp. 359-364. DOI: https://doi.org/10.1111/j.1469-0691.2011.03625.x
6. Bullock M.R., Chesnut R., Ghajar J. Surgical management of acute subdural hematomas. Neurosurgery, 2011, Vol. 58, No. 3, pp. 16-24.
7. Yrysov K.B., Alibaeva G.Zh., Kalykov T.S. Frequency and risk factors for the development of infection in the area of surgical intervention during neurosurgical operations. Scientific review. Medical Sciences, 2021, No. 3, pp. 40-44.
8. Jacobsson L.J., Westerberg M., Lexell J. Demographics, injury characteristics and outcome of traumatic brain injuries in northern Swede. Acta Neurologica Scandinavica, 2012, Vol. 116, No. 5, pp. 300-306.
Review
For citations:
Naimov S.R., Rakhmonov Kh.J., Kositov D.D., Husainov E.S. Intracranial infectious complications in patients with combined traumatic brain injury. Health care of Tajikistan. 2024;(4):65-69. (In Russ.) https://doi.org/10.52888/0514-2515-2024-363-4-65-69