Turkish Neurosurgery
Usage of a bundle application process in decreasing ventriculoperitoneal shunt infections
Nimet Ateş1, Ali Kafadar2, Gökhan Aygün3, Aytolan Yıldırım4
1Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Deparment of Infection Control Comittee, İstanbul,
2Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Depertment of Brain and Neurosurgery , İstanbul,
3Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Department of Clinical Microbiology , İstanbul,
4Istanbul University-Cerrahpasa,Florence Nightingale Faculty of Nursing, Department of Nursing Administration, İstanbul,
DOI: 10.5137/1019-5149.JTN.26864-19.3
Aim:In this study, we determined the effect of using three concurrent measures (2% chlorhexidine gluconate + 70% alcohol for skin cleaning, changing the dressing every 48 h, and observing the operating room) for patients who had shunt implantations on the infection rate. Material and Methods:This was a prospective interventional study. Using infection prevention compliance control lists, patients who had a shunt implanted between November 2012 and November 2013 were compared to those who had a shunt implanted between October 2011 and October 2012. The data included information about the patients, follow-up, and infection prevention. These data were obtained for the pre-, peri-, and postoperative periods. Results:Triple bundle prevention in the applied protocol significantly reduced the shunt days infection rate in the study group compared to the control group (p<0.005). Conclusion:These findings and results revealed the importance of creating a prevention protocol and following it regularly in a way for all surgery, operating room, and service teams fully comply to prevent shunt infections.
Corresponding author : Nimet Ateş