Impact of an educational program on reducing health care–associated meningitis or ventriculitis in the neurosurgical intensive care unit - 22/05/20
Highlights |
• | Educational intervention decreased health care–associated meningitis, ventriculitis. |
• | Coagulase-negative Staphylococcus was the most common causative pathogen. |
• | There was an increase in Klebsiella spp incidence after the education intervention. |
Résumé |
Background |
Health care–associated meningitis or ventriculitis (HCAMV) is a serious complication in different neurosurgical procedures and is associated with significant morbidity and mortality. We aimed to investigate whether an educational intervention program could reduce the HCAMV incidence in patients undergoing postsurgery external ventricular drainage and wound management.
Methods |
We enrolled 2,904 patients from the neurosurgery intensive care unit between January 1, 2016 and December 31, 2018. The medical staff undertook an educational program developed by a multidisciplinary team on correct external ventricular drainage insertion and maintenance. The program included a 9-page self-learning module on the HCAMV risk factors and operational improvements. Each participant completed a pre- and posttest on their HCAMV knowledge.
Results |
We found that 38 of 693 (5.48%) patients presented with infection in the preintervention 9-month period. In the 27-month postintervention period, the proportion of HCAMV incidence dropped by 52.19% (P < .0001) to 58 of 2,211 (2.62%) patients.
Conclusions |
Educational intervention aimed at the neurosurgery intensive care unit staff could significantly reduce the HCAMV rate, leading to a significant decline in the cost, morbidity, and mortality caused by neurosurgical procedures.
Le texte complet de cet article est disponible en PDF.Key Words : Infection control, Neurosurgical procedures
Plan
| Funding/support: The present study was supported by the Jiangsu Provincial Innovation Management of Hospital Research Projects (grant no. JSYGY-2-2018-189). |
|
| Conflicts of interest: None to report. |
Vol 48 - N° 6
P. 621-625 - juin 2020 Retour au numéro
Article précédent
- High consequence infectious diseases training using interprofessional simulation and TeamSTEPPS
- Rachel Marrs, Trisha Leann Horsley, Diana Hackbarth, Emily Landon
- Reinforcement of an infection control bundle targeting prevention practices for Clostridioides difficile in Veterans Health Administration nursing homes
- Jeanmarie Mayer, Nimalie D. Stone, Molly Leecaster, Nan Hu, Warren Pettey, Matthew Samore, Susan M. Pacheco, Susan Sambol, Curtis Donskey, Annette Jencson, Kalpana Gupta, Judith Strymish, David Johnson, Christopher Woods, Edward Young, L. Clifford McDonald, Dale Gerding
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?