External ventricular drain infection: the effect of a strict protocol on infection rates and a review of the literature

被引:100
作者
Dasic, D. [1 ]
Hanna, S. J. [1 ]
Bojanic, S. [1 ]
Kerr, R. S. C. [1 ]
机构
[1] Radcliffe Infirm, Dept Neurol Surg, Oxford OX2 6HE, England
关键词
audit; CNS infection; external ventricular drain; infection; ventriculostomy;
D O I
10.1080/02688690600999901
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
External ventricular drains (EVDs), like any surgically-implanted foreign body, are at risk of infection. We present the results of a completed audit loop following introduction of an evidence-based protocol for their insertion and management. There were two phases over a 2-year period. Phase 1 was a retrospective audit of our EVD infection rate. Phase 2 was a prospective audit of the infection rate subsequent to the introduction of a protocol for the insertion and management of EVDs. In phase 1, the infection rate was 27%. In phase 2, the infection rate was 12%. This was a statistically significant reduction (p<0.05, Chi-squared test). EVD infection is unfortunately a common clinical problem and associated with potential morbidity and mortality. This study demonstrates that adherence to an evidence-based protocol for their insertion and management is associated with a significant reduction in the infection rate.
引用
收藏
页码:296 / 300
页数:5
相关论文
共 22 条
  • [1] The efficacy and cost of prophylactic and periprocedural antibiotics in patients with external ventricular drains
    Alleyne, CH
    Hassan, M
    Zabramski, JM
    [J]. NEUROSURGERY, 2000, 47 (05) : 1124 - 1127
  • [2] INTRACRANIAL-PRESSURE MONITORS - EPIDEMIOLOGIC-STUDY OF RISK-FACTORS AND INFECTIONS
    AUCOIN, PJ
    KOTILAINEN, HR
    GANTZ, NM
    DAVIDSON, R
    KELLOGG, P
    STONE, B
    [J]. AMERICAN JOURNAL OF MEDICINE, 1986, 80 (03) : 369 - 376
  • [3] Long-term experience with subcutaneously tunneled external ventricular drainage in preterm infants
    Berger, A
    Weninger, M
    Reinprecht, A
    Haschke, N
    Kohlhauser, C
    Pollak, A
    [J]. CHILDS NERVOUS SYSTEM, 2000, 16 (02) : 103 - 109
  • [4] PROLONGED THERAPEUTIC EXTERNAL VENTRICULAR DRAINAGE - A PROSPECTIVE-STUDY
    CHAN, KH
    MANN, KS
    [J]. NEUROSURGERY, 1988, 23 (04) : 436 - 438
  • [5] CLARK WC, 1989, NEUROSURGERY, V25, P20
  • [6] PERCUTANEOUS TUNNEL VENTRICULOSTOMY - SUMMARY OF 100 PROCEDURES
    FRIEDMAN, WA
    VRIES, JK
    [J]. JOURNAL OF NEUROSURGERY, 1980, 53 (05) : 662 - 665
  • [7] Efficacy of vancomycin/tri-iododecyclemethyl ammonium chloride-coated ventriculostomy catheters in reducing infection
    Hamilton, AJ
    Orozco, J
    Narotam, P
    Bowersock, T
    [J]. NEUROSURGERY, 1997, 40 (05) : 1043 - 1049
  • [8] IN-VITRO AND IN-VIVO EFFICACY OF A RIFAMPIN-LOADED SILICONE CATHETER FOR THE PREVENTION OF CSF SHUNT INFECTIONS
    HAMPL, J
    SCHIERHOLZ, J
    JANSEN, B
    ASCHOFF, A
    [J]. ACTA NEUROCHIRURGICA, 1995, 133 (3-4) : 147 - 152
  • [9] Ventriculostomy infections: The effect of monitoring, duration and catheter exchange in 584 patients
    Holloway, KL
    Barnes, T
    Choi, S
    Bullock, B
    Marshall, LF
    Eisenberg, HM
    Jane, JA
    Ward, JD
    Young, HF
    Marmarou, A
    [J]. JOURNAL OF NEUROSURGERY, 1996, 85 (03) : 419 - 424
  • [10] PROLONGED EXTERNAL VENTRICULAR DRAINAGE WITH PERCUTANEOUS LONG-TUNNEL VENTRICULOSTOMIES
    KHANNA, RK
    ROSENBLUM, ML
    ROCK, JP
    MALIK, GM
    [J]. JOURNAL OF NEUROSURGERY, 1995, 83 (05) : 791 - 794