Impact of an educational program on reducing health care–associated meningitis or ventriculitis in the neurosurgical intensive care unit.
• 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. Health care–associated meningitis or ventriculitis...
| Publicado en: | American Journal of Infection Control Vol. 48; no. 6; pp. 621 - 626 |
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| Autores principales: | , , , , , , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Jun2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143364601&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 143364601 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01966553 44Q jtl: American Journal of Infection Control issn: 01966553 maglogo: N pubinfo: dt: Jun2020 vid: 48 iid: 6 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 143364601 143364601 143364601 10.1016/j.ajic.2019.10.012 143364601 ppf: 621 ppct: 5 formats: tig: atl: Impact of an educational program on reducing health care–associated meningitis or ventriculitis in the neurosurgical intensive care unit. aug: au: Li, Yang Wang, Rong Song, Pei-Xin Ge, Hai Li, Yi-Chen Ji, Cui-ling Jiang, Yi-hong affil: Department of Nosocomial Infection Control, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Jiangsu, PR China sug: subj: Cross Infection Prevention and Control Meningitis Prevention and Control Encephalitis Prevention and Control Neurosurgery Adverse Effects Intensive Care Units Postoperative Period Wound Care Cerebrospinal Fluid Shunts Education Medical Staff, Hospital Education Outcomes of Education Human Adult Middle Age Aged Funding Source Surgical Patients Cross Infection Risk Factors Meningitis Risk Factors Encephalitis Risk Factors Quality Improvement Pretest-Posttest Design Descriptive Statistics Neurosurgery Mortality T-Tests Chi Square Test Confidence Intervals Data Analysis Software Encephalitis Epidemiology Meningitis Epidemiology Cross Infection Epidemiology Antibiotic Prophylaxis Staphylococcal Infections Prevention and Control Klebsiella Infections Prevention and Control China Clinical Trials Comparative Studies Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years ab: • 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. 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. 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. 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. 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. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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