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J Neurol Neurosurg Psychiatry 67:468-473 doi:10.1136/jnnp.67.4.468
  • Paper

Bacterial meningitis associated with lumbar drains: a retrospective cohort study

Table 3

Description of putative risks for developing lumbar drain associated bacterial meningitis

Risk No of patients (%)
Neurological diagnosis (based on CT)
 Subarachnoid haemorrhage 9  (69)
 Intraparenchymal haemorrhage 3 (23)
 Intraventricular haemorrhage 7(54)
 Hydrocephalus 8 (61)
Underlying diabetes 1 (7)
Neurosurgical operation 8 (61)
 Ventricles entered 0 (0)
Drain placed out of intensive care unit 6 (46)
Antibiotics 6 (46)
Opening CSF pressure⩾20 mm Hg 4 (57)3-150
Intracranial pressure⩾20 mm Hg 3 (23)
Drain duration >5 days 3 (23)
Problem/manipulation
 Leaks 5 (38)
 Disconnections 1 (7)
 System changes 7 (54)
 Dressing changes 13 (100)
 Gross blood 0 (0)
Prior ventriculostomy 5 (38)
Prior intracranial pressure monitor 12 (92)
  • Risk set=13.

  • 3-150 Data not available for 6 patients; this risk set=7.

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