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首页> 外文期刊>Acute and critical care. >Ventriculostomy-related Infections in the Neurosurgical Intensive Care Unit: The Risk Factors and the Outcomes
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Ventriculostomy-related Infections in the Neurosurgical Intensive Care Unit: The Risk Factors and the Outcomes

机译：脑外科重症监护室中与室速造口术相关的感染：危险因素和结果。

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BACKGROUND: This study was performed to analyze the risk factors for ventriculostomy-related infections (VRIs) in the neurosurgical intensive care unit (NSICU) and the relationship between these risk factors and the patients' outcomes. METHODS: We collected demographic, clinical, laboratory and microbiological data from all 146 consecutive adult patients who underwent ventriculostomy in the NSICU from January 2007 to December 2008. We excluded patients with ventriculostomy performed for the draining of intraventricular abscess, infection of ventriculoperitoneal shunt (V-P shunt) or previous ventriculitis. VRI was defined by positive culture from cerebrospinal fluid (CSF) obtained via the ventricular catheter. RESULTS: VRIs were diagnosed in 26 (17.8%) of 146 patients. On average, the patients with VRIs stayed longer in the NSICU than patients without VRIs (mean duration 20 days vs. 11.9 days). All VRIs occurred in patients who had a low Acute Physiology and Chronic Health Evaluation (APACHE) IV score. In addition, the duration required to maintain ventriculostomy was longer in patients with VRIs. However, sex, mortality, the cause of ventriculosotmy, the level of consciousness, combined systemic infections, number of catheters, and performing urokinase irrigation or antibiotics irrigation via the ventriculostomy catheter were not associated with VRIs. CONCLUSIONS: VRIs were associated with longer ICU stay. However, VRIs did not influence the overall mortality rate of patients undergoing ventriculostomy in the NSICU. Because the long duration required for maintaining ventriculostomy was the risk factor of VRI, early removal of ventriculostomy catheter must be considered.
机译：摘要背景：本研究旨在分析神经外科重症监护病房（NSICU）进行脑室造口相关感染（VRI）的危险因素，以及这些危险因素与患者预后之间的关系。方法：我们收集了2007年1月至2008年12月在NSICU接受脑室造口术的所有146例连续成年患者的人口统计学，临床，实验室和微生物学数据。我们不包括因引流性脑室内脓肿，脑室-腹膜分流（VP）进行脑室造口术的患者分流）或先前的心室炎。 VRI由通过心室导管获得的脑脊液（CSF）的阳性培养确定。结果：在146例患者中，有26例（17.8％）被诊断出VRI。平均而言，有VRI的患者在NSICU的住院时间要比没有VRI的患者更长（平均住院时间20天与11.9天）。所有VRI均发生在急性生理和慢性健康评估（APACHE）IV评分较低的患者中。此外，VRI患者维持心室造口术所需的时间更长。但是，性别，死亡率，心室肌病的原因，意识水平，合并的全身感染，导管数量以及通过心室造口术导管进行尿激酶冲洗或抗生素冲洗均与VRI无关。结论：VRIs与ICU住院时间延长有关。但是，VRIs不会影响NSICU中接受脑室造口术的患者的总死亡率。由于维持心室造口术所需的时间长是VRI的危险因素，因此必须考虑尽早取出心室造口术导管。

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