AANS Online Scientific Sessions: Trauma-The Effect of Ventricular Catheter Type and Drainage System Gentamicin Flushes on Ventriculostomy-Associated Infections

The Effect of Ventricular Catheter Type and Drainage System Gentamicin Flushes on Ventriculostomy-Associated Infections

Video Transcription

Video Summary

The video features Eric, a neurosurgeon at Temple University Hospital, discussing the impact of ventricular catheter type and gentamicin flushes on ventriculoscopy-associated infections. The goal is to minimize infections through the use of antibiotic-impregnated catheters and dressing methods. Temple has utilized both antibiotic and non-antibiotic impregnated catheters, choosing the latter when there is intraventricular hemorrhage. Gentamicin flushes were only used in the distal drainage system. However, when Temple stopped using gentamicin flushes, they observed a rise in infections. A retrospective review of EVDs found that the infection rate was significant in non-antibiotic impregnated floral oligomeric polymer-coated (FOP) catheters. Gentamicin flushes showed a trend towards decreased infections. Logistic regression analysis showed that FOP catheters had a significantly increased odds of infection. Further research is needed to evaluate the role of gentamicin flushes in non-antibiotic impregnated catheters and to find ways to reduce risk and complications associated with catheter manipulation. The study's limited power and the need to track ventricular system access are acknowledged. The study concludes that antibiotic-impregnated catheters are crucial in reducing EVD infections. The assistance of doctors Fisher and Ramsey in statistical analysis is acknowledged.

Asset Subtitle

Eric T. Quach

Keywords

neurosurgeon

ventricular catheter

gentamicin flushes

ventriculoscopy-associated infections

antibiotic-impregnated catheters