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Ventriculostomy and Infection: A 4-year-review in a local hospital.

Tse Ts, Cheng K, Wong K, Pang K, Wong C - Surg Neurol Int (2010)

Bottom Line: Retrospective review of all cases involving ventriculostomy in one centre of a 4-year-period (Pamela Youde Nethersole Eastern Hospital, a local regional hospital in Hong Kong). 336 cases of admission involving 328 patients with a total of 368 ventriculostomy performed in the centre in a 4-year-period.Main outcome measures include Rate of infection and risk factors related to infections. 10 cases of out 336 cases (2.98%) of ventriculostomy were complicated by infection.Neither the duration of ventriculostomy, revision, urokinase instillation or haemorrhage showed significance in the rate of ventriculostomy-related infection.

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Affiliation: Department of Neurosurgery, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road, Chai Wan, Hong Kong SAR.

ABSTRACT

Background: To review the complication rate of ventriculostomy-related infection in a local regional hospital, to identify risk factors of infections and suggest measures to prevent infections.

Methods: Retrospective review of all cases involving ventriculostomy in one centre of a 4-year-period (Pamela Youde Nethersole Eastern Hospital, a local regional hospital in Hong Kong). 336 cases of admission involving 328 patients with a total of 368 ventriculostomy performed in the centre in a 4-year-period. Main outcome measures include Rate of infection and risk factors related to infections.

Results: 10 cases of out 336 cases (2.98%) of ventriculostomy were complicated by infection. Neither the duration of ventriculostomy, revision, urokinase instillation or haemorrhage showed significance in the rate of ventriculostomy-related infection. The low infection rate is compatible with other international literatures that used strict infection control measures.

Conclusion: Strict measures for prevention aid in achieving a low complication rate of ventriculostomy related infection.

No MeSH data available.


Related in: MedlinePlus

Duration of ventriculostomy by episode
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Figure 0005: Duration of ventriculostomy by episode

Mentions: The duration of ventriculostomy in this review was regarded as the number of days from the operative insertion of EVD to the day of removal of ventriculostomy. As some cases involved revision of ventriculostomy or more than one ventriculostomy catheter inserted in patients during the same episode, while others require re-insertion of ventriculostomy shortly after removal of ventriculostomy catheters. Thus the duration of ventriulostomy were measured on 2 separate values: the duration of each EVD catheter (duration per EVD) and the total number of days in which at least 1 ventriculostomy catheter was present on the patient in the episode of admission (duration per episode). Results summarized by table and chart below. [Figure 5 And 6. Table 4].


Ventriculostomy and Infection: A 4-year-review in a local hospital.

Tse Ts, Cheng K, Wong K, Pang K, Wong C - Surg Neurol Int (2010)

Duration of ventriculostomy by episode
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2958322&req=5

Figure 0005: Duration of ventriculostomy by episode
Mentions: The duration of ventriculostomy in this review was regarded as the number of days from the operative insertion of EVD to the day of removal of ventriculostomy. As some cases involved revision of ventriculostomy or more than one ventriculostomy catheter inserted in patients during the same episode, while others require re-insertion of ventriculostomy shortly after removal of ventriculostomy catheters. Thus the duration of ventriulostomy were measured on 2 separate values: the duration of each EVD catheter (duration per EVD) and the total number of days in which at least 1 ventriculostomy catheter was present on the patient in the episode of admission (duration per episode). Results summarized by table and chart below. [Figure 5 And 6. Table 4].

Bottom Line: Retrospective review of all cases involving ventriculostomy in one centre of a 4-year-period (Pamela Youde Nethersole Eastern Hospital, a local regional hospital in Hong Kong). 336 cases of admission involving 328 patients with a total of 368 ventriculostomy performed in the centre in a 4-year-period.Main outcome measures include Rate of infection and risk factors related to infections. 10 cases of out 336 cases (2.98%) of ventriculostomy were complicated by infection.Neither the duration of ventriculostomy, revision, urokinase instillation or haemorrhage showed significance in the rate of ventriculostomy-related infection.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Neurosurgery, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road, Chai Wan, Hong Kong SAR.

ABSTRACT

Background: To review the complication rate of ventriculostomy-related infection in a local regional hospital, to identify risk factors of infections and suggest measures to prevent infections.

Methods: Retrospective review of all cases involving ventriculostomy in one centre of a 4-year-period (Pamela Youde Nethersole Eastern Hospital, a local regional hospital in Hong Kong). 336 cases of admission involving 328 patients with a total of 368 ventriculostomy performed in the centre in a 4-year-period. Main outcome measures include Rate of infection and risk factors related to infections.

Results: 10 cases of out 336 cases (2.98%) of ventriculostomy were complicated by infection. Neither the duration of ventriculostomy, revision, urokinase instillation or haemorrhage showed significance in the rate of ventriculostomy-related infection. The low infection rate is compatible with other international literatures that used strict infection control measures.

Conclusion: Strict measures for prevention aid in achieving a low complication rate of ventriculostomy related infection.

No MeSH data available.


Related in: MedlinePlus