Risk factors for intracranial infection after external ventricular drainage by Logistic regression
10.3969/j.issn.1002-0152.2015.12.001
- VernacularTitle:脑室出血外引流术后继发颅内感染危险因素分析
- Author:
Yunlong SHEN
;
Jialing LIU
;
Songtao QI
;
Weiguang LI
;
Weikang HUO
;
Yong YANG
;
Qian WANG
- Publication Type:Journal Article
- Keywords:
Intracranial infection;
Risk factors;
External ventricular drainage;
Intraventricular hemorrhage
- From:
Chinese Journal of Nervous and Mental Diseases
2015;41(12):705-709
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors for intracranial infection after external ventricular drainage and provide basis for preventing and controlling the drainage-associated intracranial infection. Metheds the clinical data from three hundred sixty-seven cases of ventricular hemorrhage patients were retrospectively analyzed, using Logis?tic regression to screen risk factors of intracranial infection after external ventricular drainage. Results There were 29 cases with intracranial infection and infection rate was 8.19%, 8.04% and 7.32% at ventricle drainage tube indwelling 1-week group, 2-week group and 3 week-group, respectively. Glasgow coma score (GCS) [OR= 2. 569 CI (1.792 3.378) %, P< 0.05), urokinase perfusion (OR= 2.897, 95%CI (1.297 5.061), P< 0.05), cerebrospinal fluid sampling (OR= 3.399, 95%CI (2.705 4.175), P< 0.01] and comorbidities [OR= 3.751, 95%CI (2.032 5.371), P< 0.01] were risk factors for ventricle drainage operation. Conclusion Ventricle drainage tube indwelling 3 weeks is safe. Less use of urokinase perfusion and cerebrospinal fluid sampling and active treatment of comorbidities diseases can reduce the intra?cranial infection incidence of external ventricular drainage after Intraventricular hemorrhage .
