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68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
7. Joint Meeting mit der Britischen Gesellschaft für Neurochirurgie (SBNS)

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

14. - 17. Mai 2017, Magdeburg

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Effect of the "bundle approach" on the frequency of EVD-associated infection

Meeting Abstract

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  • Apedjinou Anani - Department of Neurosurgery, Hannover Medical School, Hannover, Deutschland
  • Bujung Hong - Klinik für Neurochirurgie, Medizinische Hochschule Hannover , Hannover, Deutschland
  • Hans Heissler - Medizinische Hochschule Hannover, Neurochirurgische Klinik, Hannover, Deutschland
  • Josef Michael Lang - Department of Neurosurgery, Hannover, Deutschland
  • Joachim K. Krauss - Medizinische Hochschule Hannover, Neurochirurgische Klinik, Klinik für Neurochirurgie, Hannover, Deutschland

Deutsche Gesellschaft für Neurochirurgie. Society of British Neurological Surgeons. 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS). Magdeburg, 14.-17.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. DocMi.07.09

doi: 10.3205/17dgnc410, urn:nbn:de:0183-17dgnc4105

Veröffentlicht: 9. Juni 2017

© 2017 Anani et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objective: EVD is one of the most frequent operations in neuro-surgery. In spite of a lot of progress in hygiene and meticulous peri-, intra- und postoperative measures, EVD-associated infections have remained a big challenge until today. The incidence of EVD-associated infections is still mentioned in the corresponding literature today as being up to 40% . In order to minimize the number of these infections, polypragmatic measures called "Bundle Approach" were introduced in our clinic in 2006, which include disinfection of hands and skin, wound care, bandage exchange and liquor extraction. This study examines the effect of these measures on the incidence of EVD-associated infections.

Methods: The characteristics of all patients, divided in two groups: group A (all patients during the period of January 2000 until December 2005) and group B ( all patients during January 2006 until December 2010) were compared. Patients who had had a EVD in other hospitals or who suffered already from ventriculutis, were excluded. The bundle approach includes a very strict disinfection of hands and skin, wound care, bandage exchange and liquor extraction. After the incidence of the EVD-associated infections, the risk factors were evaluated as well as the different main and side diseases, microbiological test results, and perioperatively used antibiotics.

Results: A total of 349 patients (group A: n=141; group B: n=208) were included in this study. In 41 patients (29%) of group A and 10 patients (4,8%) of group B an EVD-associated infection (p<0.0001) was found. Microbiological findings in the Liquor cerebrospinal of the patients of both groups showed mainly staphyloccocus.

Conclusion: The bundle approach resulted in a significant reduction of EVD-associated infections.