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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

Bacteria for culture positive cases
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Figure 0013: Bacteria for culture positive cases

Mentions: Of the 10 cases of ventriculostomy-related infection, 5 cases involved bacterial culture of bacillus species all resistant to penicillin or methicllin. The 4 cases grew a bacterial culture of coagulase negative staphylococcus resistant to methicillin. 1 case grew methicillin resistant staphylococcus aureus. All were sensitive to vancomycin and gentamicin. 7 cases were treated with a course of intravenous vancomycin according to sensitivity. Intravenous gentamicin was given to 4 of the cases[9] and intraventricular irrigation with amikicin via the ventriculosotmy had been used in 3 of the cases.[15] [Figure 13].


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)

Bacteria for culture positive cases
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0013: Bacteria for culture positive cases
Mentions: Of the 10 cases of ventriculostomy-related infection, 5 cases involved bacterial culture of bacillus species all resistant to penicillin or methicllin. The 4 cases grew a bacterial culture of coagulase negative staphylococcus resistant to methicillin. 1 case grew methicillin resistant staphylococcus aureus. All were sensitive to vancomycin and gentamicin. 7 cases were treated with a course of intravenous vancomycin according to sensitivity. Intravenous gentamicin was given to 4 of the cases[9] and intraventricular irrigation with amikicin via the ventriculosotmy had been used in 3 of the cases.[15] [Figure 13].

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