External ventricular drain infection: the effect of a strict protocol on infection rates and a review of the literature.
Br J Neurosurg
; 20(5): 296-300, 2006 Oct.
Article
em En
| MEDLINE
| ID: mdl-17129877
ABSTRACT
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.
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Base de dados:
MEDLINE
Assunto principal:
Cateteres de Demora
/
Protocolos Clínicos
/
Drenagem
/
Infecções Bacterianas do Sistema Nervoso Central
Tipo de estudo:
Etiology_studies
/
Guideline
/
Observational_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2006
Tipo de documento:
Article