Korean J healthc assoc Infect Control Prev.  2022 Jun;27(1):73-76. 10.14192/kjicp.2022.27.1.73.

A Case of External Ventricular Drain-related Ventriculitis: Implementation of a Standardized Bundle to Prevent Infection

• Kim DE
• Kang HJ
• Jeong HR
• Jang SY
• Lee JE
• Lee HR
• Cho MH
• Kim SR
• Song JY

• KMID: 2530829
• DOI: http://doi.org/10.14192/kjicp.2022.27.1.73

Abstract

External ventricular drain (EVD) is one of the most common neurosurgical procedures for monitoring intracranial pressure and draining cerebrospinal fluid. However, EVD-related infection is associated with a significant incidence of complications and mortality. Frequent CSF sampling, high intracranial pressure, and prolonged duration of catheterization can increase the risk of EVD-related ventriculitis. In contrast, systemic prophylactic antibiotics would lower the incidence of EVD-related ventriculitis. Here, we report a case of EVD-related ventriculitis due to carbapenem-resistant Acinetobacter baumannii. We developed a standardized EVD-related ventriculitis prevention bundle, which facilitated a decrease in infection rates.

Keyword

Cerebral ventriculitis; Prevention and control; Ventriculostomy

Figure

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  Fig. 1 External ventricular drain-related ventriculitis rates in the period before and after infection control bundle application.

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