Author/Editor     Šmigoc, Tomaž; Rink, Nina; Beović, Bojana; Bošnjak, Roman
Title     Dejavniki tveganja za okužbo pri bolnikih z zunanjo ventrikularno drenažo
Translated title     Risk factors for infections related to external ventricular drainage
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 81, št. 1
Publication year     2012
Volume     str. 16-24
Language     slo
Abstract     Background: External ventricular drainage (EVD) is the most common method of treatment for patients with increased intracranial pressure due to acute hydrocephalus. The most frequent complications of EVD are infections of the central nervous system. Earlier studies indicated numerous risk factors, although the results of studies regarding the impacts of individual factors on the occurrence of infections differ. Our research was aimed at finding the risk factors for infection in patients with an inserted EVD, treated at the Department of Neurosurgery of University Medical Centre (UMC) Ljubljana. Methods: In the article we describe a retrospective research of EVDs inserted in the period from January 2000 to January 2009. Forty-eight cases of EVDs met the study inclusion criteria. Among them, there were 10 cases with an infection which occurred during inserted EVD. We recorded, compared and evaluated information about the patient, the EVD and infections. Results: The duration of the drainage was confirmed as a risk factor for EVD infections (p = 0.004). The infection occurred on average on day 8.9 ± 5.4. The shares of subarachnoid and intraventricular hemorrhage, previous neurosurgical procedures, EVD manipulations, number of successive drainages and duration of hospitalization were greater in the cases of infected EVDs. In the cases of EVD exchange, the average day of change in group without infection was day 10.9 ± 5.8 (p = 0.030). Among infectious agents, Gram-positive bacteria prevailed.
Descriptors     HYDROCEPHALUS
CEREBRAL VENTRICLES
DRAINAGE
CENTRAL NERVOUS SYSTEM DISEASES
MENINGITIS
ENCEPHALITIS
RISK FACTORS
CEREBROSPINAL FLUID PROTEINS
RETROSPECTIVE STUDIES