Ventriculostomy-Related Infections by Country-Income Level: A Systematic Review and Bayesian Hierarchical Meta-analysis.
Samuel N Blacker, Hemanshu Prabhakar, Elizabeth Olive Moreton et al.
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In 30 seconds
This systematic review and Bayesian hierarchical meta-analysis evaluated ventriculostomy-related infection (VRI) rates in adults across different country-income levels. Analyzing 159 articles with 523,704 patients, the pooled VRI rate was found to be 8.64% (95% CI: 7.44-9.97). The study highlights significant variations in VRI rates based on definitions used and geographic location.
Key findings
- The pooled VRI rate was 8.64% with moderate heterogeneity.
- VRI rates were significantly higher in studies using definitions beyond CSF culture alone (+3.16%).
- European studies reported a VRI increase of +7.29% compared to other regions.
- Only five of the 33 countries had VRI rates below the global pooled rate.
Why it matters
Understanding VRI rates and their variations by income level and definition is crucial for clinicians to benchmark and improve infection control practices in neurosurgery.