Risk factors for infection in external ventricular drains
Objective: The present study aims to define the main risk factors for infection in EVD implants performed in a public tertiary hospital in Belo Horizonte, Brazil. Method: The present study performed a retrospective review of 137 cases of EVD implants in 107 patients from January 2006 to December 200...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2013-03-01
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| Series: | Brazilian Neurosurgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1625917 |
| _version_ | 1818612358311837696 |
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| author | Audrey Beatriz Santos Araujo Sebastião Gusmão Marcelo Magaldi Alander Sobreira Vanderlei Marina Brugnolli Ribeiro Cambraia |
| author_facet | Audrey Beatriz Santos Araujo Sebastião Gusmão Marcelo Magaldi Alander Sobreira Vanderlei Marina Brugnolli Ribeiro Cambraia |
| author_sort | Audrey Beatriz Santos Araujo |
| collection | DOAJ |
| description | Objective: The present study aims to define the main risk factors for infection in EVD implants performed in a public tertiary hospital in Belo Horizonte, Brazil. Method: The present study performed a retrospective review of 137 cases of EVD implants in 107 patients from January 2006 to December 2008. Of these cases, 25 patients had to be re-operated, totally 141 implanted shunts. Results: Forty-eight (45%) patients were male and 59 (55%) were female. The age ranged from 6 to 86 years of age (52.12 ± 15.51 years). The incidence of EVD-related infection was 32.7%, while the device permanence varied from 2 to 54 days (mean of 10 days). The EVDs that were maintained for more than 9.5 days, as well as the device changes proved to be statistically significant factors for cerebrospinal fluid (CSF) infection (p < 0.001). Antibiotic prophylaxis did not change the infection rate (p = 0.395). Conclusions: Risk factors for EVD infection included a continuing EVD permanence that lasted for more than 9.5 days and device changes. The present study concluded that there is no advantage for antibiotic prophylaxis regarding CSF infection with EVD implants. |
| first_indexed | 2024-12-16T15:44:57Z |
| format | Article |
| id | doaj.art-6f7ef46226ab4d3cb292dbb4760c2d72 |
| institution | Directory Open Access Journal |
| issn | 0103-5355 2359-5922 |
| language | English |
| last_indexed | 2024-12-16T15:44:57Z |
| publishDate | 2013-03-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Brazilian Neurosurgery |
| spelling | doaj.art-6f7ef46226ab4d3cb292dbb4760c2d722022-12-21T22:25:50ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222013-03-0132011610.1055/s-0038-1625917Risk factors for infection in external ventricular drainsAudrey Beatriz Santos AraujoSebastião GusmãoMarcelo MagaldiAlander Sobreira VanderleiMarina Brugnolli Ribeiro CambraiaObjective: The present study aims to define the main risk factors for infection in EVD implants performed in a public tertiary hospital in Belo Horizonte, Brazil. Method: The present study performed a retrospective review of 137 cases of EVD implants in 107 patients from January 2006 to December 2008. Of these cases, 25 patients had to be re-operated, totally 141 implanted shunts. Results: Forty-eight (45%) patients were male and 59 (55%) were female. The age ranged from 6 to 86 years of age (52.12 ± 15.51 years). The incidence of EVD-related infection was 32.7%, while the device permanence varied from 2 to 54 days (mean of 10 days). The EVDs that were maintained for more than 9.5 days, as well as the device changes proved to be statistically significant factors for cerebrospinal fluid (CSF) infection (p < 0.001). Antibiotic prophylaxis did not change the infection rate (p = 0.395). Conclusions: Risk factors for EVD infection included a continuing EVD permanence that lasted for more than 9.5 days and device changes. The present study concluded that there is no advantage for antibiotic prophylaxis regarding CSF infection with EVD implants.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1625917infectioncerebral ventriculitisrisk factorsantibiotic prophylaxishydrocephalus |
| spellingShingle | Audrey Beatriz Santos Araujo Sebastião Gusmão Marcelo Magaldi Alander Sobreira Vanderlei Marina Brugnolli Ribeiro Cambraia Risk factors for infection in external ventricular drains Brazilian Neurosurgery infection cerebral ventriculitis risk factors antibiotic prophylaxis hydrocephalus |
| title | Risk factors for infection in external ventricular drains |
| title_full | Risk factors for infection in external ventricular drains |
| title_fullStr | Risk factors for infection in external ventricular drains |
| title_full_unstemmed | Risk factors for infection in external ventricular drains |
| title_short | Risk factors for infection in external ventricular drains |
| title_sort | risk factors for infection in external ventricular drains |
| topic | infection cerebral ventriculitis risk factors antibiotic prophylaxis hydrocephalus |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1625917 |
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