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[Risk of infection after placement of an extraventricular drainage catheter]
Introduction:
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.
Conclusion:
The use of Bactiseal EVD catheters considerably decreased the percentage of infection occurrence with prolonged EVD catheter drainage period.
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