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道化抗生素浸与螺栓连接,非涂层的外腔室排水:并发症的比较

Celia Ortega-Angulo¹, Ana Royuela², Teresa Kalantari³

¹Department of Neurosurgery, Hospital Central de la Defensa Gómez Ulla, Madrid, Spain.

Frontiers in neurology

|August 28, 2023

概括

这项研究发现,Bactiseal和Camino外腔室排水 (EVD) 装置之间的并发症没有显著差异. 较长的EVD持续时间增加了感染风险,不论是导管类型.

科学领域:

神经外科神经外科
医疗器械医疗器械
预防传染病预防传染病

背景情况:

外腔室排水 (EVD) 是一种具有潜在不良事件的关键神经外科手术程序.
将不同类型的EVD的并发症率进行比较对于患者安全至关重要.
道抗生素浸导管 (Bactiseal) 和螺栓连接的非涂层装置 (Camino) 是常用的.

研究的目的:

为了比较 Bactiseal 和 Camino EVD 装置的并发症率.
为了确定与EVD安置相关的并发症的风险因素.
评估抗生素浸导管与非涂层器件的疗效.

主要方法:

对2015年3月至2017年12月期间放置的EVD进行了回顾性分析.
除了Bactiseal或Camino之外的其他设备的排除,不完整的随访,以及感染病因的EVD.
收集人口统计,临床变量,并发症率 (感染,出血,阻塞,错位,拔出) 和需要更换的情况.

主要成果:

分析了77个EVD (40个Bactiseal,37个Camino).
在单变量分析中,Camino设备需要更高的非自愿拉出和更换率,但在多变量分析中没有得到证实.
静脉静脉切除术的持续时间是感染的重要风险因素 (OR 1.09).

结论:

在感染,出血,阻塞,错位或 Bactiseal 和 Camino EVD 之间没有显著的差异.
埃博拉病毒感染的持续时间是感染的关键风险因素.
研究结果表明,导管类型可能不是EVD并发症的主要决定因素.

关键词:

抗菌剂是一种抗菌剂.排水排水系统排水系统外腔室排水管是外腔室的排水管术后并发症术后并发症腹腔静脉切除术 (ventriculostomy) 是一种心室静脉切除术.

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