Clinical neurology and neurosurgery
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Clin Neurol Neurosurg · Sep 2019
Randomized Controlled Trial Comparative StudyComparison of infection rate with tunneled vs standard external ventricular drainage: A prospective, randomized controlled trial.
A prospective, blinded, randomized trial was performed to evaluate the incidence rates of external ventricular drainage (EVD)-related infection (ERI) after tunneled EVD (T-EVD) and standard EVD (S-EVD). ⋯ Compared to S-EVD, T-EVD, when performed according to a previously established perioperative management protocol, resulted in lower infection and CSF leakage rates. We recommend that T-EVD should be preferentially performed when surgeons determine whether a catheter can be removed within 10 days, and the catheter used for EVD should be removed as soon as permitted by the clinical circumstances.