Document Detail


Incidence of infections of ventricular reservoirs in the treatment of post-haemorrhagic ventricular dilatation: a retrospective study (1992-2003).
MedLine Citation:
PMID:  16754650     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Since 1992, infants with progressive posthaemorrhagic ventricular dilatation (PHVD) have been treated in the Neonatal Intensive Care Unit, Wilhelmina Children's Hospital, Utrecht, The Netherlands, with a ventricular reservoir.
OBJECTIVE: To retrospectively study the incidence of infection using this invasive procedure.
METHODS: Between January 1992 and December 2003, 76 preterm infants were treated with a ventricular reservoir. Infants admitted during two subsequent periods were analysed: group 1 included infants admitted during 1992-7 (n = 26) and group 2 those admitted during 1998-2003 (n = 50). Clinical characteristics and number of reservoir punctures were evaluated. The incidence of complications over time was assessed, with a focus on the occurrence of infection of the reservoir.
RESULTS: The number of punctures did not change during both periods. Infection was significantly less common during the second period (4% (2/50) v 19.2% (5/26), p = 0.029).
CONCLUSION: The use of a ventricular reservoir is a safe treatment to ensure adequate removal of cerebrospinal fluid in preterm infants with PHVD. In experienced hands, the incidence of infection of the ventricular reservoir or major complications remains within acceptable limits.
Authors:
A J Brouwer; F Groenendaal; A van den Hoogen; M Verboon-Maciolek; P Hanlo; K J Rademaker; L S de Vries
Publication Detail:
Type:  Journal Article     Date:  2006-06-05
Journal Detail:
Title:  Archives of disease in childhood. Fetal and neonatal edition     Volume:  92     ISSN:  1359-2998     ISO Abbreviation:  Arch. Dis. Child. Fetal Neonatal Ed.     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2006-12-22     Completed Date:  2007-01-25     Revised Date:  2013-06-07    
Medline Journal Info:
Nlm Unique ID:  9501297     Medline TA:  Arch Dis Child Fetal Neonatal Ed     Country:  England    
Other Details:
Languages:  eng     Pagination:  F41-3     Citation Subset:  AIM; IM    
Affiliation:
Department of Neonatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Central Nervous System Infections / etiology*
Cerebral Hemorrhage / complications*
Cerebral Ventricles / pathology*
Cerebrospinal Fluid Shunts / adverse effects*,  instrumentation
Dilatation, Pathologic / surgery
Female
Humans
Infant, Newborn
Infant, Premature
Intensive Care, Neonatal / methods
Male
Postoperative Complications / etiology*
Punctures
Retrospective Studies
Ventriculoperitoneal Shunt
Comments/Corrections

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