de Andrade Almir Ferreira, Paiva Wellingson Silva, Neville Iuri Santana, Noleto Gustavo Sousa, Alves Junior Aderaldo, Sandon Luiz Henrique Dias, Bor-Seng-Shu Edson, Amorim Robson Luis, Teixeira Manoel Jacobsen
Division of Neurological Surgery, Hospital das Clinicas, University of São Paulo School of Medicine, São Paulo, Brazil.
Med Sci Monit. 2014 Feb 10;20:227-32. doi: 10.12659/MSM.890080.
Infection is a major complication in patients undergoing external ventricular drainage (EVD). Our study aimed to evaluate the incidence of infection in a series with the monoblock EVD system.
46 patients treated with EVD at our emergency department were analyzed prospectively to research the incidence of infections with a new EVD system.
The average rate of infection was 8.7%. When we stratified the patients according to the exclusive use of EVD without craniotomies, we identified a reduction in the overall incidence of ventriculitis from 8.7% to 2.3%. Age, etiology, and the presence of ventricular bleeding were not statistically significant risk factors.
Despite the small sample examined in this study, we believe that the monoblock system is a simple, inexpensive device that reduces accidental disconnection of the system.
感染是接受脑室外引流（EVD）患者的主要并发症。我们的研究旨在评估单块式EVD系统系列中的感染发生率。
对在我们急诊科接受EVD治疗的46例患者进行前瞻性分析，以研究一种新型EVD系统的感染发生率。
平均感染率为8.7%。当我们根据仅使用EVD而不进行开颅手术对患者进行分层时，我们发现脑室炎的总体发生率从8.7%降至2.3%。年龄、病因和脑室出血的存在不是具有统计学意义的危险因素。
尽管本研究中检查的样本量较小，但我们认为单块式系统是一种简单、廉价的装置，可减少系统意外断开连接的情况。
