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降低心室导管感染风险的策略:证据回顾。

Strategies to decrease the risk of ventricular catheter infections: a review of the evidence.

机构信息

Department of Neurologic Surgery, The Mayo Clinic, Rochester, MN 55905, USA.

出版信息

Neurocrit Care. 2012 Feb;16(1):194-202. doi: 10.1007/s12028-011-9647-z.

DOI:10.1007/s12028-011-9647-z
PMID:22045248
Abstract

The use of antibiotic-coated external ventricular catheters has been controversial among practitioners; although several papers have documented decreased adherence of microbes to catheters treated with antibiotics, there is no universally accepted practice standard for the use of coated catheters for the prevention of clinical infection. In this paper, we review the in vivo and in vitro evidence for antibiotic-coated catheters.

摘要

抗生素涂层导尿管的使用在从业者中存在争议;尽管有几篇论文记录了抗生素处理的导管上微生物黏附减少,但对于使用涂层导管预防临床感染,尚无被普遍接受的实践标准。本文回顾了抗生素涂层导尿管的体内和体外证据。

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本文引用的文献

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Infection rate and risk factors associated with infections related to external ventricular drain.与外部脑室引流相关的感染发生率及相关感染危险因素。
Infection. 2011 Feb;39(1):47-51. doi: 10.1007/s15010-010-0073-5. Epub 2011 Jan 25.
2
Impact of a standardized protocol and antibiotic-impregnated catheters on ventriculostomy infection rates in cerebrovascular patients.标准化方案和抗生素浸渍导管对脑血管病患者脑室引流感染率的影响。
Neurosurgery. 2010 Jul;67(1):187-91; discussion 191. doi: 10.1227/01.NEU.0000370247.11479.B6.
3
External ventricular and lumbar drainage-associated meningoventriculitis: prospective analysis of time-dependent infection rates and risk factor analysis.
万古霉素、磺胺甲恶唑和三氯生浸渍的外部脑室引流导管,对耐多药革兰氏阴性菌具有延长的活性:一项体外和体内研究。
J Antimicrob Chemother. 2019 Oct 1;74(10):2959-2964. doi: 10.1093/jac/dkz293.
4
Variations in Strategies to Prevent Ventriculostomy-Related Infections: A Practice Survey.预防脑室造口术相关感染策略的差异:一项实践调查。
Neurohospitalist. 2017 Jan;7(1):15-23. doi: 10.1177/1941874416663281. Epub 2016 Aug 11.
5
Prevention of Nosocomial Infection in the Neurosciences Intensive Care Unit: Remember the Basics.神经科学重症监护病房医院感染的预防:牢记基本原则。
Neurocrit Care. 2016 Oct;25(2):167-9. doi: 10.1007/s12028-016-0314-2.
6
Long subcutaneous tunnelling reduces infection rates in paediatric external ventricular drains.长皮下隧道可降低小儿体外引流管的感染率。
Childs Nerv Syst. 2014 Oct;30(10):1671-8. doi: 10.1007/s00381-014-2523-3. Epub 2014 Aug 27.
脑室外引流和腰大池引流相关的脑膜脑炎:与时间相关的感染率的前瞻性分析及危险因素分析。
Infection. 2010 Jun;38(3):205-9. doi: 10.1007/s15010-010-0006-3. Epub 2010 Mar 24.
4
Efficacy of antibiotic-impregnated external ventricular drain catheters.抗生素浸渍型脑室外引流导管的疗效。
J Clin Neurosci. 2010 Mar;17(3):296-8. doi: 10.1016/j.jocn.2009.06.016. Epub 2010 Jan 13.
5
Effects of antibiotic-impregnated external ventricular drains on bacterial culture results: an in vitro analysis.抗生素体外引流管对细菌培养结果的影响:体外分析。
J Neurosurg. 2010 Jul;113(1):86-92. doi: 10.3171/2009.10.JNS09565.
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Pediatr Neurosurg. 2008;44(6):444-7. doi: 10.1159/000172966. Epub 2008 Nov 17.
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Acta Neurochir (Wien). 2008 Oct;150(10):1049-55; discussion 1055-6. doi: 10.1007/s00701-008-0022-6. Epub 2008 Sep 6.