Effect of a bundle approach on external ventricular drain-related infection

Background Emergency placement of an external ventricular drain (EVD) is one of the most frequently performed neurosurgical procedures. EVD-related infection continues to be a major challenge causing significant morbidity and costs. Bundle approaches have been shown to reduce infection rates; howeve...

Full description

Saved in:
Bibliographic Details
Published in:Acta neurochirurgica 2021-04, Vol.163 (4), p.1135-1142
Main Authors: Hong, Bujung, Apedjinou, Anani, Heissler, Hans E., Chaib, Hind, Lang, Josef M., Al-Afif, Shadi, Krauss, Joachim K.
Format: Article
Language:English
Subjects:
Catheters
Infection
Infections
Interventional Radiology
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Morbidity
Neurology
Neuroradiology
Neurosurgery
Original Article - Infection
Surgical Orthopedics
Ventricle
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Emergency placement of an external ventricular drain (EVD) is one of the most frequently performed neurosurgical procedures. EVD-related infection continues to be a major challenge causing significant morbidity and costs. Bundle approaches have been shown to reduce infection rates; however, they are still not widely used, and observation periods often were rather short. Methods The present study evaluated the effect of a multi-item bundle approach for EVD placement and care on the occurrence of EVD-related infection. A before/after approach was used to compare groups of consecutive patients over 5-year epochs to control for bias and secondary confounding variables. Results The number of patients in the group before implementation of the bundle approach was 141 and 208 thereafter. There were no statistical differences in demographic and other variables. While 41/141 patients (29.1%) had an EVD-related infection before, this was the case in only 10/208 patients (4.8%) thereafter ( p  
ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-020-04698-8