[Risk of infection after placement of an extraventricular drainage catheter].
BACKGROUND
The occurrence of infection after the placement of an extraventricular drainage (EVD) catheter can be a very serious problem in neurosurgery.


OBJECTIVE
The aim of this study was to confirm that the use of special catheters with impregnated antibiotics decreased the percentage of infection.


METHODS
The 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).


RESULTS
In 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.


CONCLUSIONS
The use of Bactiseal EVD catheters considerably decreased the percentage of infection occurrence with prolonged EVD catheter drainage period.
Vesna
V
Novak
Ivan
I
Stefanović
Aleksander
A
Kostić
Martin
M
Novak
D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D055499:Catheter-Related Infections / Q000209:etiology* / Q000517:prevention & control; D002408:Catheters, Indwelling / Q000009:adverse effects*; D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects*; D002981:Clindamycin / Q000008:administration & dosage; D020099:Coated Materials, Biocompatible; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012293:Rifampin / Q000008:administration & dosage; D012306:Risk
D000900:Anti-Bacterial Agents; D020099:Coated Materials, Biocompatible; D002981:Clindamycin; D012293:Rifampin