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Reducing the Incidence of Intraventricular Catheter–Related Ventriculitis in the Neurology-Neurosurgical Intensive Care Unit at a Tertiary Care Center in St Louis, Missouri: An 8-Year Follow-Up Study

Published online by Cambridge University Press:  02 January 2015

Hitoshi Honda ,
Jeffrey C. Jones ,
Martha C. Craighead ,
Michael N. Diringer ,
Ralph G. Dacey  and
David K. Warren
Hitoshi Honda
Affiliation:
Division of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St Louis, Missouri
Jeffrey C. Jones
Affiliation:
Division of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St Louis, Missouri
Martha C. Craighead
Affiliation:
Department of Infection Control, Barnes-Jewish Hospital, St Louis, Missouri
Michael N. Diringer
Affiliation:
Department of Neurology, Washington University School of Medicine, St Louis, Missouri
Ralph G. Dacey
Affiliation:
Department of Neurosurgery, Washington University School of Medicine, St Louis, Missouri
David K. Warren*
Affiliation:
Division of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St Louis, Missouri
*
Division of Infectious Diseases, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8051, St Louis, MO 63110, (dwarren@DOM.wustl.edu)
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Extract

We reviewed the effect of 3 interventions to reduce the incidence of intraventricular catheter–related ventriculitis, conducted at a tertiary care center in St Louis, Missouri, during an 8-year period. The incidence density of intraventricular catheter-related ventriculitis decreased substantially after the implementation of standardized management of intraventricular catheters.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 31 , Issue 10 , October 2010 , pp. 1078 - 1081
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

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References

1.Mayhall, CG, Archer, NH, Lamb, VA, et al.Ventriculostomy-related infections: a prospective epidemiologic study. N Engl J Med 1984;310(9): 553–559.Google ScholarPubMed
2.Lozier, AP, Sciacca, RR, Romagnoli, MF, Connolly, ES Jr. Ventriculostomy-related infections: a critical review of the literature. Neurosurgery 2002;51(1):170–181.CrossRefGoogle ScholarPubMed
3.Beer, R, Lackner, P, Pfausler, B, Schmutzhard, E. Nosocomial ventriculitis and meningitis in neurocritical care patients. J Neurol 2008;255(11):1617–1624.Google Scholar
4.Korinek, AM, Reina, M, Boch, AL, Rivera, AO, De Bels, D, Puybasset, L. Prevention of external ventricular drain-related ventriculitis. Acta Neu-rochir (Wien) 2005;147(1):39–45; discussion 45-46.Google Scholar
5.Hoefnagel, D, Dammers, R, Ter Laak-Poort, MP, Avezaat, CJ. Risk factors for infections related to external ventricular drainage. Acta Neurochir (Wien) 2008;150(3):209–214; discussion 214.Google Scholar
6.O'Grady, NP, Alexander, M, Dellinger, EP, et al.Guidelines for the prevention of intravascular catheter-related infections. Infect Control Hosp Epidemiol 2002;23(12):759–769.Google Scholar
7. Codman Bactiseal antimicrobial catheter system, http://www.codman.com/DePuy/products/Products/Hydro/Bactiseal/index.html. Accessed February 15, 2010.Google Scholar
8.Lyke, KE, Obasanjo, OO, Williams, MA, O'Brien, M, Chotani, R, Perl, TM. Ventriculitis complicating use of intraventricular catheters in adult neurosurgical patients. Clin Infect Dis 2001;33(12):2028–2033.Google Scholar
9.Trick, WE, Kioski, CM, Howard, KM, et al.Outbreak of Pseudomonas aeruginosa ventriculitis among patients in a neurosurgical intensive care unit. Infect Control Hosp Epidemiol 2000;21(3):204–208.Google Scholar
10.Zabramski, JM, Whiting, D, Darouiche, RO, et al.Efficacy of antimicrobial-impregnated external ventricular drain catheters: a prospective, randomized, controlled trial. J Neurosurg 2003;98(4):725–730.Google Scholar