%0 Journal Article
%T Extraventricular Drain Care Bundle Decreases Cerebrospinal Fluid Infection Rates Associated With Extraventricular Drain-Related Procedures and Systemic Infection.
%A Lozano M
%A Wang AS
%A Siddiqi I
%A Dy O
%A Ko K
%A Sweiss R
%A Miulli DE
%J Cureus
%V 16
%N 1
%D 2024 Jan
%M 38371086
暂无%R 10.7759/cureus.52440
%X <B>BACKGROUND: </B>Infection associated with extraventricular drain (EVD)-related procedures is well known.<BR><B>OBJECTIVE: </B>To investigate the impact of our institution's EVD care bundle on the infection rates associated with EVD-related procedures.<BR><B>METHODS: </B>A retrospective study was conducted from June 2022 to June 2023 to compare the infection rate six months before and six months after the implantation of the EVD care bundle.<BR><B>RESULTS: </B>A total of 58 patients were included in the study (n=33 patients in 2022 and n=25 patients in 2023). The infection rate was 21.2% (7/33) prior to the implementation of the EVD care bundle and 0.0% (0/25) afterward. The seven patients with cerebrospinal fluid (CSF) infection did not have a higher total number of EVD-related procedures compared to the other 26 patients without CSF infection (8.0 vs. 9.4, p=0.7364); however, the mean number of EVD replacements was higher in patients with CSF infection (1.4 vs. 3.4, p=0.0028). The total number of EVD-related procedures was not different between 2022 and 2023 (8.3 vs. 5.2, respectively, p=0.1892); however, the mean number of EVD replacements was lower in 2023 (1.8 vs. 1.0, p=0.0257). In 2022, 22/33 patients had systemic infection, among which 7/22 also had CSF infection. In 2023, 13/25 patients had a systemic infection, among which 0/13 had CSF infection.<BR><B>CONCLUSIONS: </B>The EVD care bundle consisting of standardizations, checklists, and monitoring reduces the CSF infection rates associated with EVD-related procedures and systemic infection.