medigraphic.com

2019, Number 2

<< Back Next >>

Cir Cir 2019; 87 (2)

Ventriculitis associated with extraventricular drainage: etiology, diagnosis and treatment focused on neurocritic care units

Ulloque-Caamaño L, Mo-Carrascal J, Maraby J, Narvaez-Rojas A, Quintana-Pajaro L, Ramos-Villegas Y, Moscote-Salazar LR

Language: Spanish
References: 20
Page: 230-240
PDF size: 243.52 Kb.


ABSTRACT

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.


REFERENCES

  1. Jiménez M, García E. Infecciones relacionadas con los sistemas de drenaje de líquido cefalorraquídeo. Enferm Infecc Microbiol Clin. 2008;26:240-51.

  2. Martínez L, Aveiro A. Ventriculitis asociada a drenaje ventricular externo. Rev Virtual Soc Parag Med Int. 2017;4:46-56.

  3. Grille P, Costa, G, Biestro A, Wajskopf S. Manejo del drenaje ventricular externo en la unidad de cuidados intensivos. Guía práctica. Rev Med Urug. 2007;23:50-5.

  4. Gordon M. Fiosiopatogenia y diagnóstico de la ventriculitis asociada a drenaje ventricular externo. Barcelona: Universidad de Barcelona; 2015.

  5. Lewis A, Czeisler B, Lord A. Variations in strategies to prevent ventriculostomy- related infections: a practice survey. Neurohospitalist. 2017;7:15‑23.

  6. Lewis A, Wahlster S, Karinja A, Czeisler B, Kimberly W, Lord A. Ventriculostomy- related infections (VRI): the performance of different definitions for diagnosing infection. Br J Neurosurg. 2016;30:49-56.

  7. Stenehjem E, Armstrong W. Central nervous system device infections. Infect Dis Clin North Am. 2012;26:89-110.

  8. Villegas R, Camputaro L. Infección relacionada con el drenaje ventricular externo: tratamiento intravenoso versus intratecal. Revision de la literatura. Rev Argent Neurocir. 2006;20:133-6.

  9. García-Vázquez E, Gómez J. Tratamiento de las infecciones relacionadas con procedimientos neuroquirúrgicos. Rev Esp Quimioterap. 2007;20:36‑43.

  10. Birbilis T, Matis G, Chrysou O, Karakosta E, Themelidis D, Panopoulou M. Metal external ventricular drainage catheters in the treatment of persistent ventriculitis — an old story made new: technical note and preliminary results. Turk Neurosurg. 2013;23:420-5.

  11. Hoefnagel D, Dammers R, Ter Laak-Poort M, Avezaat C. Risk factors for infections related to external ventricular drainage. Acta Neurochir (Wien). 2008;150:209-14.

  12. Feo O, Rueda D. Providencia stuartii asociada a ventriculostomía. Reporte de un caso. Univ Med. 2012;53:452-8.

  13. Worley E, Astle S, Watson J. Prospective evaluation of ventriculostomy infections. Cureus. 2015;7:e312.

  14. Lozier A, Sciacca R, Romagnoli M, Connolly E. Ventriculostomy-related infections: a critical review of the literature. Neurosurgery. 2002;51:170 82.

  15. Hasbun R. Central nervous system device infections. Curr Infect Dis Rep. 2016;18:34.

  16. Bari M, Haider G, Malik K, Waqas M, Mahmood S, Siddiqui M. Outcomes of post-neurosurgical ventriculostomy-associated infections. Surg Neurol Int. 2017;8:124.

  17. Hospital Povincial de Neuquén. Dr. Castro Rendón. Guía de práctica clínica, diagnóstico y tratamiento de la meningitis posquirúrgica y la ventriculitis en pacientes adultos internados. 2010. Disponible en: http:// www saludneuquen gob.ar/wp-content/uploads/2016/10/13-GPC-Meningitis- post-quirurgica-HPN-2010.pdf

  18. Servicio Aragonés de Salud. Manejo de los drenajes ventriculares. Aragon; 2012. Disponible en: http //www ics-aragon.com/cursos/enfermo-critico/ 4/Drenajes.pdf

  19. Spanu T, Rigante D, Tamburrini G, Fiori B, D’Inzeo T, Posteraro B, et al. Ventriculitis due to Staphylococcus lugdunensis: two case reports. J Med Case Rep. 2008;2:267.

  20. Tse T, Cheng K, Wong K, Pang K, Wong C. Ventriculostomy and infection: a 4-year-review in a local hospital. Surg Neurol Int. 2010;1:47.




2020     |     www.medigraphic.com