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.
Highlights
Indwelling ventriculostomy catheter or External Ventricular Drain (EVD) is a common Neurosurgical procedure
All ventriculostomy were performed in the operation theatre
For patients with the ventriculostomy procedure within 1 week of admission to hospital, a one-gram intravenous dose of Ceftriaxone http://www.surgicalneurologyint.com/content/1/1/47 was administrated at the start of the operation and every 8 hours for three doses after the operation
Summary
Indwelling ventriculostomy catheter or External Ventricular Drain (EVD) is a common Neurosurgical procedure. It can be defined as a surgical establishment of a communication between cerebral ventricular system and the external environment (outside of the human body). Ventriculostomy, as with all surgical procedures, sustains a risk for complications. One of the complications of concern is ventriculostomy related infection (VRI). [3] A previous 5-year review of ventriculostomy at the author’s centre, the infection rate of EVD is
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