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Published on: October 17, 2017

Infectious complications and duration of intracranial pressure monitoring

R K Kanter, L B Weiner, A M Patti

    Critical Care Medicine
    |October 1, 1985
    PubMed

    Insights

    Infectious complications from intracranial pressure (ICP) monitoring in children with acute brain injury decrease over time. Infection risk is highest early, suggesting insertion time is key.

    Area of Science:

    • Pediatric Neurology
    • Neurocritical Care
    • Infectious Disease Epidemiology

    Background:

    • Intracranial pressure (ICP) monitoring is crucial for managing acute brain injury in children.
    • The risk of infectious complications associated with prolonged ICP monitoring requires careful evaluation.

    Purpose of the Study:

    • To determine the relationship between the duration of ICP monitoring and the incidence of infectious complications in pediatric patients.
    • To analyze infection risk trends over the course of ICP monitoring.

    Main Methods:

    • Retrospective analysis of 65 children with acute brain injury undergoing ICP monitoring.
    • Tracking the duration of ICP monitor placement and occurrence of infectious complications.
    • Calculating infection rates per 100 monitor-days.

    Main Results:

    • Nine infections occurred between days 2 and 11 of monitoring.
    • The overall infection risk was 1.5 per 100 monitor-days.
    • Infection risk and the percentage of infected monitors decreased significantly after day 6.

    Conclusions:

    • The declining risk of infection over time suggests that contamination often occurs during monitor insertion.
    • Prolonged use of a single ICP monitor, without routine reinsertion, may reduce infection risk.
    • A protocol for single ICP monitor use, with reinsertion only for malfunction or infection, is supported.

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