Increased Risk of Surgical Site Infections With Clindamycin Prophylaxis in Clean Craniotomy

Clindamycin use is associated with an increased risk of SSI in clean craniotomy. Its bacteriostatic nature, and the proven safety of cefazolin in penicillin-allergic patients support maintaining cefazolin as the preferred antibiotic for every clean craniotomy patient. The safety of modifying prophylaxis protocols should be prospectively evaluated to optimize postoperative infection prevention.

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Publication Details

Journal
Neurosurgery
Published
2025-09-09
DOI
https://doi.org/10.1227/neu.0000000000003719
Primary Topic
Surgical site infection prevention
Type
article
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article

Increased Risk of Surgical Site Infections With Clindamycin Prophylaxis in Clean Craniotomy

Bachir Belkheiri, R Bernard, Bertrand Mathon, Vincent Jullien et al.
3 links
Neurosurgery
Surgical site infection prevention
article

Increased Risk of Surgical Site Infections With Clindamycin Prophylaxis in Clean Craniotomy

Bachir Belkheiri, R Bernard, Bertrand Mathon, Vincent Jullien, S. Latreille, Vincent Degos, Alice Jacquens, Antoine Abi Lutfallah, Anne‐Marie Korinek, Marion Plaçais
article en

Abstract

Clindamycin use is associated with an increased risk of SSI in clean craniotomy. Its bacteriostatic nature, and the proven safety of cefazolin in penicillin-allergic patients support maintaining cefazolin as the preferred antibiotic for every clean craniotomy patient. The safety of modifying prophylaxis protocols should be prospectively evaluated to optimize postoperative infection prevention.

NeurosurgeryVol. 98(4)
Sorbonne Université (FR), Assistance Publique – Hôpitaux de Paris (FR), Pitié-Salpêtrière Hospital (FR)
Openalex Percentile: Top 61%
Surgical site infection prevention
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Increased Risk of Surgical Site Infections With Clindamycin Prophylaxis in Clean Craniotomy — Bachir Belkheiri, R Bernard, et al. · Neurosurgery (2025) | TGRS Research Map | TGRS