Infected ventriculostomy: bacteriology and treatment

Acta Neurochir (Wien). 1989;100(1-2):67-9. doi: 10.1007/BF01405277.

Abstract

During a period of 6 years 256 patients underwent ventriculostomy as their first operative procedure. Twenty-seven patients (11%) developed CSF-infections, in almost 90% caused by Gram-positive cocci compatible with normal skin flora. The incidence of infection was distributed evenly in the postoperative period. All patients received intravenous and intrathecal antibiotic treatment simultaneously according to the sensitivity test. The treatment was highly effective, and without serious adverse effects.

MeSH terms

  • Acinetobacter Infections / cerebrospinal fluid
  • Acinetobacter Infections / drug therapy
  • Acinetobacter Infections / etiology*
  • Adolescent
  • Adult
  • Aged
  • Brain Diseases / cerebrospinal fluid
  • Brain Diseases / drug therapy
  • Brain Diseases / etiology*
  • Brain Diseases / microbiology
  • Cerebrospinal Fluid Shunts / adverse effects*
  • Child
  • Female
  • Humans
  • Klebsiella Infections / cerebrospinal fluid
  • Klebsiella Infections / drug therapy
  • Klebsiella Infections / etiology*
  • Klebsiella pneumoniae
  • Male
  • Middle Aged
  • Postoperative Complications / cerebrospinal fluid
  • Postoperative Complications / drug therapy
  • Postoperative Complications / microbiology*
  • Staphylococcal Infections / cerebrospinal fluid
  • Staphylococcal Infections / drug therapy
  • Staphylococcal Infections / etiology*
  • Ventriculostomy / adverse effects*