34 KB531 KB31 KB192920262012Beović, BojanaBošnjak, RomanRink, NinaŠmigoc, Tomažštevilka:1letnik:81str. 16-24ISSN:1318-0347COBISSID:29485273URN:URN:NBN:SI:doc-CVPN0RGNslSlovensko zdravniško društvoZdravniški vestnikAdverse EffectsCentral Nervous System DiseasesCentralno živčevje, bolezniCerebral VentriclesCerebrospinal FluidCerebrospinal Fluid ProteinsCerebrospinalna tekočina, beljakovineDejavniki tveganjaDrainageDrenažaEncefalitisEncephalitisHidrocefalusHydrocephalusMeningitisMožganski prekatiRetrospective StudiesRetrospektivne študijeRisk FactorsSurgeryDejavniki tveganja za okužbo pri bolnikih z zunanjo ventrikularno drenažo| Risk factors for infections related to external ventricular drainage|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 onthe 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 metthe 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 prevailedTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo