• Srp Ark Celok Lek · Mar 2012

    [Risk of infection after placement of an extraventricular drainage catheter].

    • Vesna Novak, Ivan Stefanović, Aleksander Kostić, and Martin Novak.
    • Srp Ark Celok Lek. 2012 Mar 1;140(3-4):138-41.

    IntroductionThe occurrence of infection after the placement of an extraventricular drainage (EVD) catheter can be a very serious problem in neurosurgery.ObjectiveThe aim of this study was to confirm that the use of special catheters with impregnated antibiotics decreased the percentage of infection.MethodsThe prospective study conducted at the Clinic of Neurosurgery in Nis 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).ResultsIn 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.ConclusionThe use of Bactiseal EVD catheters considerably decreased the percentage of infection occurrence with prolonged EVD catheter drainage period.

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