Peripheral white blood cell count as a screening tool for ventriculostomy-related infections.


Journal

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
ISSN: 1532-2653
Titre abrégé: J Clin Neurosci
Pays: Scotland
ID NLM: 9433352

Informations de publication

Date de publication:
Sep 2019
Historique:
received: 29 11 2018
revised: 28 03 2019
accepted: 09 06 2019
pubmed: 4 7 2019
medline: 30 11 2019
entrez: 4 7 2019
Statut: ppublish

Résumé

One of the most common complications following external ventricular drain (EVD) placement is infection. Routine cultures of cerebrospinal fluid (CSF) are often used to screen for infection, however several days may pass before infection is discovered. In this study, we compared the predictive value of daily recorded vital sign parameters and peripheral white blood count (WBC) in identifying ventriculostomy-related infections. Patients with EVDs who had CSF cultures for microorganisms performed between January 2011 and July 2017 were assigned to either an infected and/or uninfected study group. Clinical parameters were then compared using t-test, chi squared and multiple logistic regression analyses. Patients of any age and gender were included. One hundred seventy uninfected and 10 infected subjects were included in the study. Nine of the 10 infected patients had an elevated WBC (>10.4 × 10

Identifiants

pubmed: 31266718
pii: S0967-5868(18)32070-8
doi: 10.1016/j.jocn.2019.06.023
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

52-58

Informations de copyright

Copyright © 2019 Elsevier Ltd. All rights reserved.

Auteurs

Peyton L Nisson (PL)

University of Arizona, College of Medicine, Tucson, AZ, United States; Department of Neurosurgery, Cedars-Sinai, Beverly Hills, CA, United States. Electronic address: pnisson@email.arizona.edu.

Whitney S James (WS)

High Desert Surgery Center, Prescott, AZ, United States.

Michael B Gaub (MB)

University of Arizona, College of Medicine, Tucson, AZ, United States. Electronic address: michaelgaub@email.arizona.edu.

Mark Borgstrom (M)

University Information Technology Services, University of Arizona, Tucson, AZ, United States. Electronic address: markb@arizona.edu.

Martin Weinand (M)

University of Arizona, College of Medicine, Tucson, AZ, United States. Electronic address: mweinand@surgery.arizona.edu.

Rein Anton (R)

University of Arizona, College of Medicine, Tucson, AZ, United States. Electronic address: ranton@surgery.arizona.edu.

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Classifications MeSH