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Infections in deep brain stimulation: Shaving versus not shaving

BACKGROUND: To report our experience of infections in deep brain stimulation (DBS) surgeries comparing shaving versus no shaving of cranial hair. Nonshaving is strongly preferred by patients due to aesthetic and psychological factors. METHODS: This study is a prospective follow-up of the infection r...

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Autores principales: Gubler, Felix S., Ackermans, Linda, Kubben, Pieter L., Damci, Aysun, Kuijf, Mark L., Oosterloo, Mayke, Vermeulen, R. Jeroen, Hescham, Sarah, Kocabicak, Ersoy, Kurt, Erkan, Temel, Yasin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5655757/
https://www.ncbi.nlm.nih.gov/pubmed/29119047
http://dx.doi.org/10.4103/sni.sni_172_17
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author Gubler, Felix S.
Ackermans, Linda
Kubben, Pieter L.
Damci, Aysun
Kuijf, Mark L.
Oosterloo, Mayke
Vermeulen, R. Jeroen
Hescham, Sarah
Kocabicak, Ersoy
Kurt, Erkan
Temel, Yasin
author_facet Gubler, Felix S.
Ackermans, Linda
Kubben, Pieter L.
Damci, Aysun
Kuijf, Mark L.
Oosterloo, Mayke
Vermeulen, R. Jeroen
Hescham, Sarah
Kocabicak, Ersoy
Kurt, Erkan
Temel, Yasin
author_sort Gubler, Felix S.
collection PubMed
description BACKGROUND: To report our experience of infections in deep brain stimulation (DBS) surgeries comparing shaving versus no shaving of cranial hair. Nonshaving is strongly preferred by patients due to aesthetic and psychological factors. METHODS: This study is a prospective follow-up of the infection rate in 43 nonshaven DBS cases between April 2014 and December 2015 compared to our former infection rate with shaving in our center. Minimum follow-up was 6 months. All patients, except 7 epilepsy patients, received implantation of the electrodes together with the extension cables and internal pulse generator in one session. RESULTS: In 43 nonshaven patients, a total of 81 electrodes were implanted or revised with a mean follow-up of 16 months. One patient (2.32%) developed an infection of the implanted DBS-hardware and was treated with antibiotics. CONCLUSION: In our experience nonshaving of cranial hair in DBS surgery does not lead to more infections when compared to shaving. We have changed our protocol to nonshaving based on these findings.
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spelling pubmed-56557572017-11-08 Infections in deep brain stimulation: Shaving versus not shaving Gubler, Felix S. Ackermans, Linda Kubben, Pieter L. Damci, Aysun Kuijf, Mark L. Oosterloo, Mayke Vermeulen, R. Jeroen Hescham, Sarah Kocabicak, Ersoy Kurt, Erkan Temel, Yasin Surg Neurol Int Stereotactic: Original Article BACKGROUND: To report our experience of infections in deep brain stimulation (DBS) surgeries comparing shaving versus no shaving of cranial hair. Nonshaving is strongly preferred by patients due to aesthetic and psychological factors. METHODS: This study is a prospective follow-up of the infection rate in 43 nonshaven DBS cases between April 2014 and December 2015 compared to our former infection rate with shaving in our center. Minimum follow-up was 6 months. All patients, except 7 epilepsy patients, received implantation of the electrodes together with the extension cables and internal pulse generator in one session. RESULTS: In 43 nonshaven patients, a total of 81 electrodes were implanted or revised with a mean follow-up of 16 months. One patient (2.32%) developed an infection of the implanted DBS-hardware and was treated with antibiotics. CONCLUSION: In our experience nonshaving of cranial hair in DBS surgery does not lead to more infections when compared to shaving. We have changed our protocol to nonshaving based on these findings. Medknow Publications & Media Pvt Ltd 2017-10-10 /pmc/articles/PMC5655757/ /pubmed/29119047 http://dx.doi.org/10.4103/sni.sni_172_17 Text en Copyright: © 2017 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Stereotactic: Original Article
Gubler, Felix S.
Ackermans, Linda
Kubben, Pieter L.
Damci, Aysun
Kuijf, Mark L.
Oosterloo, Mayke
Vermeulen, R. Jeroen
Hescham, Sarah
Kocabicak, Ersoy
Kurt, Erkan
Temel, Yasin
Infections in deep brain stimulation: Shaving versus not shaving
title Infections in deep brain stimulation: Shaving versus not shaving
title_full Infections in deep brain stimulation: Shaving versus not shaving
title_fullStr Infections in deep brain stimulation: Shaving versus not shaving
title_full_unstemmed Infections in deep brain stimulation: Shaving versus not shaving
title_short Infections in deep brain stimulation: Shaving versus not shaving
title_sort infections in deep brain stimulation: shaving versus not shaving
topic Stereotactic: Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5655757/
https://www.ncbi.nlm.nih.gov/pubmed/29119047
http://dx.doi.org/10.4103/sni.sni_172_17
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