Ulloque-Caamaño Liezel, Mo-Carrascal Joulen, Maraby Johana, Narvaez-Rojas Alexis, Quintana-Pajaro Loraine, Ramos-Villegas Yancarlos, Moscote-Salazar Luis R
Facultad de Medicina, Universidad de Cartagena, Cartagena de Indias, Colombia.
Cartagena Neurotrauma Research Group, Universidad Nacional Autónoma de Nicaragua, Managua, Nicaragua.
Cir Cir. 2019;87(2):230-240. doi: 10.24875/CIRU.18000052.
Ventriculitis after extraventricular drainage is a very important neurosurgical complication in neurocritical care units. It is necessary to make an early diagnosis, given that the morbidity and mortality secondary to it can be variable, and complicate the evolution of neurocritical patients. Despite this, ventriculostomy continues to be an important pillar in monitoring and treatment. Given the urgency of ventriculitis associated with multiresistant germs, new antimicrobial drugs have emerged as part of the treatment, as intraventricular routes have been proposed within the new investigations. However, the foregoing does not yet have sufficient bases to be able to support it. The present review was carried out with the aim of contributing to an early diagnosis and treatment of ventriculitis associated with extra ventricular drainage in neurocritical patients, and in this way to contribute to improve survival and prevent fatal outcomes in these patients.
脑室外引流后发生的脑室炎是神经重症监护病房中一种非常重要的神经外科并发症。鉴于其继发的发病率和死亡率可能各不相同，且会使神经重症患者的病情复杂化，因此有必要进行早期诊断。尽管如此，脑室造瘘术仍然是监测和治疗的重要支柱。鉴于与多重耐药菌相关的脑室炎的紧迫性，新的抗菌药物已成为治疗的一部分，因为在新的研究中已提出了脑室内给药途径。然而，上述内容尚无足够的依据来支持。本综述旨在促进神经重症患者脑室外引流相关脑室炎的早期诊断和治疗，从而有助于提高这些患者的生存率并预防致命后果。
