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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

Ventriculostomy catheter tip culture
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Figure 0010: Ventriculostomy catheter tip culture

Mentions: The intra-cranial end (drain tip) of the external ventricular drain would be sent for routine bacteria culture during operative revision or after removal under aseptic technique when the EVD were no longer required. A small number of ventricular drain tips were not saved for culture however, these include patients who died before the ventriculostomy were removed in which there were no clinical features suggesting a ventriculostomy-related infection. Only 10 cases (3.5%) had a positive culture of the EVD tip, the majority bacteria group was Coagulase negative staphylococcus with bacillus as the second most common. [Table 9, Figure 10].


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)

Ventriculostomy catheter tip culture
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0010: Ventriculostomy catheter tip culture
Mentions: The intra-cranial end (drain tip) of the external ventricular drain would be sent for routine bacteria culture during operative revision or after removal under aseptic technique when the EVD were no longer required. A small number of ventricular drain tips were not saved for culture however, these include patients who died before the ventriculostomy were removed in which there were no clinical features suggesting a ventriculostomy-related infection. Only 10 cases (3.5%) had a positive culture of the EVD tip, the majority bacteria group was Coagulase negative staphylococcus with bacillus as the second most common. [Table 9, Figure 10].

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