ArticleJournal of the Intensive Care Society2026
Incidence, risk factors, and microbial spectrum of external ventricular drain-related infections among adult neurocritical care patients: A systematic review and meta-analysis.
Article in Journal of the Intensive Care Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
External ventricular drains (EVDs) monitor and manage increased intracranial pressure (ICP) in neurosurgical patients. EVD-related infection (ERI) is a serious complication linked to significant morbidity and mortality. This review aims to determine the overall incidence of ERI, identify key risk factors, compare the effectiveness of different EVD types, and analyze causative organisms. A comprehensive literature search was performed on public databases (PubMed/MEDLINE, Cochrane Library, and Google Scholar) from inception to 15 July 2025. The Newcastle-Ottawa Scale (NOS) tool and Cochrane tool (RoB-2) were used to assess the quality of included studies. A random-effects model was applied for all meta-analyses. The overall incidence of ERI was 8.6% (95% CI 7.2-10.3,
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