Srpski arhiv za celokupno lekarstvo 2012 Volume 140, Issue 3-4, Pages: 138-141
https://doi.org/10.2298/SARH1204138N
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Risk of infection after placement of an extraventricular drainage catheter
Novak Vesna (Klinika za neurohirurgiju, Klinički centar, Niš)
Stefanović Ivan (Klinika za neurohirurgiju, Klinički centar, Niš)
Kostić Aleksandar (Klinika za neurohirurgiju, Klinički centar, Niš)
Novak Martin (Klinika za dečje interne bolesti, Klinički centar, Niš)
Introduction. The occurrence of infection after the placement of an
extraventricular drainage (EVD) catheter can be a very serious problem in
neurosurgery. Objective. The aim of this study was to confirm that the use of
special catheters with impregnated antibiotics decreased the percentage of
infection. Methods. The prospective study conducted at the Clinic of
Neurosurgery in Niš in the period 2006-2009 is presented. Group 1 comprised
of 43 patients in whom a commonly used system for EVD was applied. Group 2
comprised of 39 patients in whom the Rifampycin and Clindamycin impregnated
EVD catheters were applied (Bactiseal catheters). Results. In Group 1
infection occurred in nine patients, mainly caused by bacteria of
Staphylococcus genus. In Group 2 only two patients developed infections
caused by Acinetobacter. Conclusion. The use of Bactiseal EVD catheters
considerably decreased the percentage of infection occurrence with prolonged
EVD catheter drainage period.
Keywords: meningitis, extraventricular drainage, antibiotics, antimicrobial-impregnated catheters, intraventricular haemorrhage