External Ventricular Drain-Related Infection in Spontaneous Intracerebral Hemorrhage.

Autor: Dos Santos SC; Department of Neurosurgery, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil; Department of Neurosurgery, Hospital de Pronto Socorro, Porto Alegre, Rio Grande do Sul, Brazil. Electronic address: samirdossantos@terra.com.br., Fortes Lima TT; Department of Neurosurgery, Hospital Santa Cruz, Santa Cruz do Sul, Rio Grande do Sul, Brazil., Lunardi LW; Department of Infectious Diseases, Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil., Stefani MA; Department of Neurosurgery, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2017 Mar; Vol. 99, pp. 580-583. Date of Electronic Publication: 2016 Dec 23.
DOI: 10.1016/j.wneu.2016.12.071
Abstrakt: Objective: We aimed to analyze infection rates in patients with spontaneous intracranial hemorrhage who underwent surgical external ventricular drain (EVD) placement.
Methods: This prospective study included 94 consecutive patients who required an EVD for spontaneous intracranial hemorrhage at the Neurosurgery Department of Hospital Cristo Redentor, Porto Alegre, Rio Grande do Sul, Brazil.
Results: The mean duration of EVD use was 7 days. Overall sample mortality was 45%, and overall infection rate was 36%. Patients who had an EVD in place >10 days had higher odds of infection than patients who had an EVD in place ≤10 days (odds ratio = 3.1, 95% confidence interval, 1.1-8.7). Culture positivity rate was 5.3%.
Conclusions: Our findings suggest that EVD infection is a very common complication, occurring in 36.2% of cases. We adopted ventriculitis as the standard diagnosis, as advocated by the U.S. Centers for Disease Control and Prevention. Considering the high lethality associated with intracranial hemorrhage, use of a more aggressive treatment protocol for this patient population might improve morbidity and mortality rates.
(Copyright © 2016 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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