Complications of External Ventricular Drainage at CHU-JRA Antananarivo Madagascar

##plugins.themes.bootstrap3.article.main##

  •   Bemora Joseph Synèse

  •   Ramarokoto Mijoro

  •   Rakotoarivelo Joe Andry

  •   Barison Mugica

  •   Ratovondrainy Willy

  •   Rabarijaona Mamiarisoa

Abstract


The external ventricular drainage (EVD) is a device indicated in cases of acute hydrocephalus and in certain cases of intracranial hypertension. The main objective of our study is to determine the frequency of the complication of an EVD at the Centre HospitalierUniversitaire Joseph Ravohangy Andrianavalona (CHU-JRA). This is a retrospective and descriptive study. During the targeted period, 64 patients were operated for EVD, of which 45 had a complication (70.31%). The infectious complication predominated in 43.75% of cases. All patients were operated for ventricular hemorrhage. Antibiotic prophylaxis before surgery was systematic for all patients. The most frequent germ was Coagulase-negative Staphylococcus. The average duration of catheterization was 14.47 days, the average duration of onset of the complication was 7.96 days. Despite systematic insertion of the EVD in the operating room and the existence of a dedicated care protocol, the rate of an EVD-related complication remains high in our center.



Keywords: CHU-JRA, complication, external ventricular drainage, hydrocephalus, infectious

References

SakkaL. Anatomy and physiology of cerebrospinal fluid.Annales françaises d’oto-rhino-laryngologie et de pathologie cervico-faciale. (JOURNAL NAME). 2011;128: 359-66.

Beer R, Lackner P, FauslerBP, SchmutzhardE. Nosocomial ventriculitis and meningitis in neurocritical care patient. J Neurol. 2008; 255(11):1617-24.

Rogier P, Schade, Janke S, Freek W, Roelandse, Ronald B, Lack of value of routine analysis of cerebrospinal fluid for prediction and diagnosis of external drainage–related bacterial meningitis. J. Neurosurg. 2006;104(1): 101-8.

DasicD, Hanna J, BojanicS, Kerr C. External ventricular drain infection: the effect of a strict protocol on infection rates and a review of the literature. British Journal of Neurosurgery. 2006; 20(5): 296-300.

Hagel S, Bruns T, PletzM, Engel C, KalffR, Ewald C et al. External Ventricular Drain Infections: Risk Factors and outcome .Hindawi Publishing. Corporation. 2014: 325-30.

Lozier P, Robert R, RomagnoliF, Sander E, Connolly Jr. Ventriculostomy-related infections: a critical review of the literature. Neurosurgery. 2002; 51(1):170-182.

Stephen R, Sally A, Arlo U, Sally R. Clinical parameters do not predict infection in patients with external ventricular drains: A retrospective observational study of daily cerebrospinal fluid analysis. Journal of Medical Microbiology.2008; 57(2): 207-209.

Joseph C. Thesis. Complication and management of external ventricular leads. Québec University ; 2016.

Velásquez C, Rivero-Garvía M, Mayorga-Buiza MJ, Cañizares-Méndez MLA, Jiménez-Mejías ME, Márquez-Rivas J. Avoiding Pullout Complications in External Ventricular Drains: Technical Note.J Neurosurg 2017;126(3):1003-5.

Aten Q, Killeffer J, Seaver C, Reier L. Causes, Complications, and Costs Associated with External Ventricular Drainage Catheter Obstruction Quentin, World Neurosurgery. 2020;134:501-6.

Dey M, Jaffe J, Stadnik A, Awad IA. External Ventricular Drainage for Intraventricular Hemorrhage. Current Neurology and Neuroscience Reports. 2012; 12: 24–33.

Sari F, Opprecht N, Mirek S, Nadji A, Aho-Glele S, Girard C, et al. Survey: Management of infectious complications on ventricular bypass. SFAR. 2016.

Bertrand B. Hydrocephalus, valves and shunts. 2017.

Chloé A. Thèse. Infections on the externalventricular leads in neurosurgical intensive care: clinical audit afterimplementation of a preventionprotocol. Medicine Humaine: France; 2017.

Blomstedt G.Post-operative aseptic meningitis. Acta Neurochir (Wien).1987; 89(3-4):112-6.

Ross D, Rosegay H, Pons V. Differentiation of aseptic and bacterial meningitis in postoperative neurosurgical patients. J Neurosurg.1988; 69(5):669-74.

Filiz S. Thesis. National survey on the management of infectious complications on external ventricular bypass in intensive care. Dijon University; 2016.

Jason Y, Selbi W, Muquit S, Berei T. Complication rates of external ventricular drain insertion by surgeons of different experience. Ann R Coll Surg Engl. 2018; 100(3): 221-5.

##plugins.themes.bootstrap3.article.details##

How to Cite
Synèse, B. J., Mijoro, R., Joe Andry, R., Mugica, B. ., Willy, R., & Mamiarisoa, R. (2022). Complications of External Ventricular Drainage at CHU-JRA Antananarivo Madagascar. European Journal of Clinical Medicine, 3(6), 4–7. https://doi.org/10.24018/clinicmed.2022.3.6.190

Most read articles by the same author(s)