Comorbidities in patients with post-operative meningitis in neurosurgery

Abstract

NEUROSURGERY (Abstract): Meningitis is a serious condition that affects the central nervous sys-tem and can be caused by bacterial, viral, or fungal infection . Postoperative meningitis is a post procedural complication and disorder of the nervous system. Material and methods : We performed a retrospective study between 2016 and 2019 including 627 patients who underwent neurosurgical interventions. Of these, 32 presented postoperative meningitis being admitted between 2016 and 2019 to the “Sf. Parascheva” Clinical Hospital of Infectious Diseases, Iasi, in order to assess the impact of comorbidities among these patients. Results : From 24 patients with comorbidities, we evaluated a percentage of 45.83% patients with ischemic heart disease. We identified a number of 15 patients (62.5%) with arterial hypertension, which demonstrates the high prevalence of vascular diseases among these cases. Also, we found 4 cases with metabolic disorders which means 16.66% from all the patients with associated pathology. On the other hand, we analyzed the prevalence of other important associated comorbidities which can increase the mortality and morbidity associated risk. Conclusions : The impact of multiple comorbidities on the management and evolution of infectious diseases, especially in postoperative meningitis, is complex and needs collaboration with colleagues from all the specialties involved.