Ventriculostomy-related infections in critically ill patients: a 6-year experience

Bota, Daliana Peres; Lefranc, Florence; Vilallobos, Hector Rodriguez; Brimioulle, Serge; Vincent, Jean‐Louis

doi:10.3171/jns.2005.103.3.0468

Cited by 112 publications

(90 citation statements)

References 18 publications

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“…An alternative approach, which can be recommended, is to start immediate external ventricular drainage (keeping intracranial pressure between 10 and 20 mm Hg) in all these patients if there is no other obvious explanation (such as massive ICH) for a reduced level of consciousness (level IV evidence) [112,116]. On the other hand, ventriculostomy increases risk for rebleeding and meningitis/ventriculitis [117]. …”

Section: Aneurysmal Sah – Ruptured Aneurysm (Ria)mentioning

confidence: 99%

European Stroke Organization Guidelines for the Management of Intracranial Aneurysms and Subarachnoid Haemorrhage

et al. 2013

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Background: Intracranial aneurysm with and without subarachnoid haemorrhage (SAH) is a relevant health problem: The overall incidence is about 9 per 100,000 with a wide range, in some countries up to 20 per 100,000. Mortality rate with conservative treatment within the first months is 50–60%. About one third of patients left with an untreated aneurysm will die from recurrent bleeding within 6 months after recovering from the first bleeding. The prognosis is further influenced by vasospasm, hydrocephalus, delayed ischaemic deficit and other complications. The aim of these guidelines is to provide comprehensive recommendations on the management of SAH with and without aneurysm as well as on unruptured intracranial aneurysm. Methods: We performed an extensive literature search from 1960 to 2011 using Medline and Embase. Members of the writing group met in person and by teleconferences to discuss recommendations. Search results were graded according to the criteria of the European Federation of Neurological Societies. Members of the Guidelines Committee of the European Stroke Organization reviewed the guidelines. Results: These guidelines provide evidence-based information on epidemiology, risk factors and prognosis of SAH and recommendations on diagnostic and therapeutic methods of both ruptured and unruptured intracranial aneurysms. Several risk factors of aneurysm growth and rupture have been identified. We provide recommendations on diagnostic work up, monitoring and general management (blood pressure, blood glucose, temperature, thromboprophylaxis, antiepileptic treatment, use of steroids). Specific therapeutic interventions consider timing of procedures, clipping and coiling. Complications such as hydrocephalus, vasospasm and delayed ischaemic deficit were covered. We also thought to add recommendations on SAH without aneurysm and on unruptured aneurysms. Conclusion: Ruptured intracranial aneurysm with a high rate of subsequent complications is a serious disease needing prompt treatment in centres having high quality of experience of treatment for these patients. These guidelines provide practical, evidence-based advice for the management of patients with intracranial aneurysm with or without rupture. Applying these measures can improve the prognosis of SAH.

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Section: Aneurysmal Sah – Ruptured Aneurysm (Ria)mentioning

confidence: 99%

European Stroke Organization Guidelines for the Management of Intracranial Aneurysms and Subarachnoid Haemorrhage

et al. 2013

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“…Numerous studies have aimed at identifying factors that predispose a patient to an EVD infection [10]. Hemorrhagic CSF in patients with SAH and/or IVH has been associated with the development of VRI in most studies [3,6,8,10,13,17,18]. It has been proposed that hemorrhagic CSF is a medium that preferentially supports bacterial growth in comparison with normal CSF [5].…”

Section: Discussionmentioning

confidence: 97%

“…Patients with a hemorrhagic CSF due to either a subarachnoid hemorrhage (SAH) and/or an intraventricular hemorrhage (IVH) have been found to be more at risk of developing an EDVrelated infection than patients without SAH or IVH [3,6,8,10,13,17,18]. Some authors have found a 28.6% infection rate in patients with hemorrhage and vascular diseases, compared with 18.5% for patients with all other diagnoses [3].…”

Section: Introductionmentioning

confidence: 95%

Impact of antibiotic-impregnated catheters on the timing of cerebrospinal fluid infections in non-traumatic subarachnoid hemorrhage

2012

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“…However, drawbacks are the necessary incubation time and the lack of sensitivity. In addition, even the detection by culture of pathogens in the CSF is not definitive because of potential contamination or colonization of the catheter by bacteria [14].…”

Section: Discussionmentioning

confidence: 99%

Value of multiplex PCR using cerebrospinal fluid for the diagnosis of ventriculostomy-related meningitis in neurosurgery patients

Schoch

Adamzik

et al. 2014

Infection

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Ventriculostomy-related infections in critically ill patients: a 6-year experience

Cited by 112 publications

References 18 publications

European Stroke Organization Guidelines for the Management of Intracranial Aneurysms and Subarachnoid Haemorrhage

European Stroke Organization Guidelines for the Management of Intracranial Aneurysms and Subarachnoid Haemorrhage

Impact of antibiotic-impregnated catheters on the timing of cerebrospinal fluid infections in non-traumatic subarachnoid hemorrhage

Value of multiplex PCR using cerebrospinal fluid for the diagnosis of ventriculostomy-related meningitis in neurosurgery patients

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