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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.

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

Duration of ventriculostomy before revision
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Figure 0009: Duration of ventriculostomy before revision

Mentions: A small number of cases required revision of ventriculostomy. A majority of these cases was due to blockage of the ventriculostomy diagnosed by observation of CSF flow and CT imaging. Other indications for revision include re-bleeding from previous intracranial haemorrhage, suboptimal position of the ventriculostomy and hydrocephalus (not related to the above mentioned causes). Most of the revisions were performed within 8 days of the initial insertion of ventriculosotmy with a mean duration of ventriculostomy before revision at 6.2 days. Most of the cases with a revised ventriculostomy required a longer duration before removal of the ventriculostomy. [Figure 8 and 9. Table 6, 7 and 8].


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 before revision
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0009: Duration of ventriculostomy before revision
Mentions: A small number of cases required revision of ventriculostomy. A majority of these cases was due to blockage of the ventriculostomy diagnosed by observation of CSF flow and CT imaging. Other indications for revision include re-bleeding from previous intracranial haemorrhage, suboptimal position of the ventriculostomy and hydrocephalus (not related to the above mentioned causes). Most of the revisions were performed within 8 days of the initial insertion of ventriculosotmy with a mean duration of ventriculostomy before revision at 6.2 days. Most of the cases with a revised ventriculostomy required a longer duration before removal of the ventriculostomy. [Figure 8 and 9. Table 6, 7 and 8].

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