NDLI: A bundle approach to reduce the incidence of external ventricular and lumbar drain-related infections.

Please wait, while we are loading the content...

Effect of biodegradable fibrin scaffold on survival, migration, and differentiation of transplanted bone marrow stromal cells after cortical injury in rats.

Effect of recombinant human bone morphogenetic protein-2 on bone regeneration in large defects of the growing canine skull after dura mater replacement with a dura mater substitute.

Localization of bone marrow stromal cells to the injury site after intracerebral hemorrhage in rats.

Frontal-to-temporal horn shunt as treatment for temporal horn entrapment.

Overdrainage of cerebrospinal fluid caused by detachment of the pressure control cam in a programmable valve after 3-tesla magnetic resonance imaging.

Surgical outcome of phrenic nerve transfer to the anterior division of the upper trunk in treating brachial plexus avulsion.

Cognitive and motor improvement after retesting in normal-pressure hydrocephalus: a real change or merely a learning effect?

Multinodular/plexiform (multifascicular) schwannomas of major peripheral nerves: an underrecognized part of the spectrum of schwannomas.

Perioperative management of neurosurgical patients with methicillin-resistant Staphylococcus aureus.

Cerebral microdialysis and intracranial pressure monitoring in patients with idiopathic normal-pressure hydrocephalus: association with clinical response to extended lumbar drainage and shunt surgery.

Spontaneous intracranial hypotension syndrome: a novel speculative physiopathological hypothesis and a novel patch method in a series of 28 consecutive patients.

Clinically silent magnetic resonance imaging findings after subdural strip electrode implantation.

Intraoperative monitoring of cortically recorded visual response for posterior visual pathway.

Postoperative pain management with tramadol after craniotomy: evaluation and cost analysis.

A bundle approach to reduce the incidence of external ventricular and lumbar drain-related infections.

Neurosurgical mortality rates: what variables affect mortality within a single institution and within a national database?

The safety and effectiveness of a dural sealant system for use with nonautologous duraplasty materials.

Application of a flexible CO(2) laser fiber for neurosurgery: laser-tissue interactions.

Magnetic resonance neurography for the evaluation of peripheral nerve, brachial plexus, and nerve root disorders.

The role of T helper cell differentiation in promoting nerve allograft survival with costimulation blockade.

Emergency reversal of anticoagulation and antiplatelet therapies in neurosurgical patients.

Potential financial impact of restriction in 'never event' and periprocedural hospital-acquired condition reimbursement at a tertiary neurosurgical center: a single-institution prospective study.

'Never events' come to neurosurgery.

Onset of symptomatic hydrocephalus requiring emergency cerebrospinal fluid diversion following high-voltage electrical burn injury.

Endoscopic repair of cerebrospinal fluid leaks in the lateral sphenoid sinus recess.

Postoperative radiographic findings in patients undergoing intracranial electrode monitoring for medically refractory epilepsy.

Seizures after evacuation of subdural hematomas: incidence, risk factors, and functional impact.

Highly cited works.

Highly cited works in neurosurgery. Part I: the 100 top-cited papers in neurosurgical journals.

Highly cited works in neurosurgery. Part II: the citation classics.

Highly cited works in neurosurgery.

Neurosurgical mortality rates.

Endoscopic pituitary surgery.

Endoscopic resection.

Abscess in a metastasis.

Garré disease.

Year: 2010 Volume: 112 Issue: 1

Year: 2009 Volume: 111

A bundle approach to reduce the incidence of external ventricular and lumbar drain-related infections.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Leverstein-van Hall, Maurine A. Hopmans, Titia E. M. Van Der Sprenkel, Jan Willem Berkelbach Blok, Hetty E. M. Van Der Mark, Wil A. M. A. Hanlo, Patrick W. Bonten, Marc J. M.
Description	Country affiliation: Netherlands Author Affiliation: Leverstein-van Hall MA ( Department of Microbiology, Infectious Diseases and Inflammation, and Hospital Hygiene and Infection Prevention, Utrecht, The Netherlands. M.LeversteinvHall@umcutrecht.nl)
Abstract	OBJECT: An important complication of external CSF drainage is bacterial meningitis or ventriculitis, resulting in increased morbidity, mortality, and health care costs. In 2003, a high rate (37%) of probable drain-related infections was identified at the authors' hospital. A multidisciplinary working group was installed to reduce this incidence to < 10% within 1.5 years. METHODS: An intervention strategy based on 5 pillars (increased awareness, focused standard operating procedures, a diagnostic and therapeutic algorithm, timely administration of prophylaxis, and improvement of the drainage system) was designed and implemented from 2004 to 2006. During this period all patients with external CSF drainage were prospectively monitored. RESULTS: Between 2004 and 2006, there were 467 patients in whom 579 drains (external ventricular and external lumbar) had been placed. The overall incidence of drain-related infections was 16.2% in 2004, 8.9% in 2005, and 11.3% in 2006. For external lumbar drains the number of infections per 100 drain days was 2.4 in 2004, 0.6 in 2005, and 0.8 in 2006. For external ventricular drains these rates were 1.7, 1.0, and 1.2, respectively. Meanwhile, the causative noncutaneous microorganisms, indicative for systemic-contamination during manipulation, decreased. By retrospective analysis, the proportion of patients with a probable drain-related infection decreased from 37% in 2003 to 9% in 2005 and 2006. CONCLUSIONS: The authors' multidisciplinary approach in which different preventive measures were combined was associated with a significant reduction in the incidence of drain-related secondary meningitis, and thus provides an important improvement of patient safety.
File Format	HTM / HTML
ISSN	00223085
e-ISSN	19330693
Journal	Journal of Neurosurgery
Issue Number	2
Volume Number	112
Language	English
Publisher	American Association of Neurological Surgeons
Publisher Date	2010-02-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Neurosurgery Central Nervous System Bacterial Infections Prevention & Control Cerebrospinal Fluid Drainage Adverse Effects Meningitis, Bacterial Adolescent Epidemiology Etiology Child, Preschool Infant Practice Guidelines As Topic Retrospective Studies
Content Type	Text
Resource Type	Article
Subject	Neurology (clinical) Surgery

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Risk factors for infections related to external ventricular drainage.

Relationship between bacterial colonization of external cerebrospinal fluid drains and secondary meningitis: a retrospective analysis of an 8-year period.

Indicators of external ventricular drainage-related infections--a retrospective observational study.

Early diagnosis of external ventricular drainage infection: results of a prospective study.

Postoperative Central Nervous System Infection After Neurosurgery in a Modernized, Resource-Limited Tertiary Neurosurgical Center in South Asia.

Efficacy of antibiotic-impregnated external ventricular drain catheters.

Infection rates of external ventricular drains are reduced by the use of silver-impregnated catheters.

Silver-impregnated external-ventricular-drain-related cerebrospinal fluid infections: a meta-analysis.

Influence of congenital central nervous system malformations on postoperative complications following placement of cerebrospinal fluid shunts in pediatric and adolescent patients.

A bundle approach to reduce the incidence of external ventricular and lumbar drain-related infections.

Similar Documents

Risk factors for infections related to external ventricular drainage.

Relationship between bacterial colonization of external cerebrospinal fluid drains and secondary meningitis: a retrospective analysis of an 8-year period.

Indicators of external ventricular drainage-related infections--a retrospective observational study.

Early diagnosis of external ventricular drainage infection: results of a prospective study.

Postoperative Central Nervous System Infection After Neurosurgery in a Modernized, Resource-Limited Tertiary Neurosurgical Center in South Asia.

Efficacy of antibiotic-impregnated external ventricular drain catheters.

Infection rates of external ventricular drains are reduced by the use of silver-impregnated catheters.

Silver-impregnated external-ventricular-drain-related cerebrospinal fluid infections: a meta-analysis.

Influence of congenital central nervous system malformations on postoperative complications following placement of cerebrospinal fluid shunts in pediatric and adolescent patients.

A bundle approach to reduce the incidence of external ventricular and lumbar drain-related infections.