未经证实:脑室造口术,救生和紧急程序,用来解决颅内压升高的问题.在资源有限的设置中,例如TikurAnnbessa专业转诊医院,没有适当设计的用于心室造瘘术的封闭系统;使用由无菌小儿鼻胃管连接到尿袋的装置。
UNASSIGNED:2009年1月1日至2018年6月30日对93例脑室造瘘术患者进行的基于机构的回顾性横断面研究。在描述性统计和二元Logistic回归分析中描述了与脑室造口术相关的感染风险。
UNASSIGNED:在TikurAnnbessa专科医院,脑室造口术相关感染的患病率为25.8%。确定的危险因素:脑室造口术持续5天或更长时间(AOR=7.676,95%CI:1.424,41.367)和脑脊液漏(AOR=4.592,95%CI:1.279,16.488)。脑室造口术操作显示双变量分析相关。肺炎克雷伯菌(34.6%)和不动杆菌属。(30.8%)被确定为主要生物。对头孢他啶和万古霉素的敏感率为19.2%,对美罗培南的敏感率为42.3%。根据Tängdén的标准,11.8%的患者死于脑室造口术相关感染,而43%的患者死亡。一旦诊断,脑室造口术相关感染的死亡率为45.8%。
UNASSIGNED:在TikurAnnbessa专科医院,脑室造口术相关感染的患病率为25.8%。外部心室引流和脑脊液漏的持续时间是确定的危险因素。与脑室造口术相关的感染占与外部脑室引流相关的死亡率的三分之一。其余三个确切原因尚不清楚。
UNASSIGNED: Ventriculostomy, a lifesaving and emergency procedure, is used to address raised intracranial pressure. In resource limited set-up like Tikur Annbessa Specialized Referral Hospital, properly designed closed system for ventriculostomy is not available; a device made with sterile pediatric nasogastric tube connected to urine bag is used.
UNASSIGNED: Institutional based retrospective cross-sectional study conducted on 93 patients with ventriculostomy from January 1, 2009 to June 30, 2018. Ventriculostomy related infection risk described in descriptive statistics and Binary Logistic Regression analysis.
UNASSIGNED: The prevalence rate of Ventriculostomy related infection is 25.8% at Tikur Annbessa Specialized Referral Hospital. Identified risk factors: Ventriculostomy stay for five or more days (AOR=7.676, 95% CI: 1.424, 41.367) and cerbro-spinal fluid leak (AOR=4.592, 95% CI: 1.279, 16.488). Ventriculostomy manipulation showed association on bivariate analysis. K.Pneumoniae (34.6%) and Acinetobacter spp. (30.8%) identified as the main organisms. They were sensitive to combined ceftazidime and vancomycin in 19.2% and meropenem in 42.3%. Based on Tängdén\'s criteria, 11.8% of patients died of Ventriculostomy related infection while 43% of the patients died in total. Mortality from Ventriculostomy related infection is 45.8% once diagnosed.
UNASSIGNED: The prevalence rate of Ventriculostomy related infection is 25.8% at Tikur Annbessa Specialized Referral Hospital. The duration of external ventricular drain and Cerebrospinal fluid leak are identified risk factors. Ventriculostomy related infection is responsible for one third of mortality related with external ventricular drain. The remaining two third exact causes are not known.