Impact of an Educational Intervention Implanted in a Neurological Intensive Care Unit on Rates of Infection Related to External Ventricular Drains

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorCAMACHO, Eduardo Fernandes
dc.contributor.authorBOSZCZOWSKI, Icaro
dc.contributor.authorFREIRE, Maristela Pinheiro
dc.contributor.authorPINTO, Fernando Campos Gomes
dc.contributor.authorGUIMARAES, Thais
dc.contributor.authorTEIXEIRA, Manuel Jacobsen
dc.contributor.authorCOSTA, Silvia Figueiredo
dc.date.accessioned2013-09-23T16:41:24Z
dc.date.available2013-09-23T16:41:24Z
dc.date.issued2013
dc.description.abstractBackground: Studies on the implantation of care routines showed reduction on EVD catheter-related infections rates; however zero tolerance is difficult to be achieved. The objective of this study was to assess the impact of an educational intervention on the maximal reduction on rates of EVD-related infections. Methodology/Principal Findings: The quasi-experimental (before-after intervention) study occurred in two phases: pre-intervention, from April 2007 to July 2008, and intervention, from August 2008 to July 2010. Patients were followed for 30 days after the removal of the EVD, and EVD-related infections were considered as only those with laboratorial confirmation in the CSF. Observations were made of the care of the EVD and compliance with Hygiene of the Hands (HH), a routine of care was drawn up, training was given, and intervention was made to reduce the time the EVD catheter remained in place. Results: during the study, 178 patients were submitted to 194 procedures, corresponding to 1217 EVD catheters-day. Gram-negative agents were identified in 71.4% of the infections during the pre-intervention period and in 60% during the intervention period. During the study, EVD-related infection rates were reduced from 9.5% to 4.8% per patient, from 8.8% to 4.4% per procedure, and the incidence density dropped from 14.0 to 6.9 infections per 1000 catheters-day (p = 0.027). The mortality reduced 12% (from 42% to 30%). Conclusions/Significance: During one year after the fourth intervention, no microbiologically identified infection was documented. In light of these results, educational intervention proved to be a useful tool in reducing these rates and showed also impact on mortality.
dc.description.indexMEDLINE
dc.description.sponsorshipCAPES (Coordenacao de Aperfeicoamento de Pessoal de Nivel Superor)
dc.identifier.citationPLOS ONE, v.8, n.2, article ID e50708, 7p, 2013
dc.identifier.doi10.1371/journal.pone.0050708
dc.identifier.issn1932-6203
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/2009
dc.language.isoeng
dc.publisherPUBLIC LIBRARY SCIENCE
dc.relation.ispartofPlos One
dc.rightsopenAccess
dc.rights.holderCopyright PUBLIC LIBRARY SCIENCE
dc.subject.otherblood-stream infections
dc.subject.otherrisk-factors
dc.subject.wosMultidisciplinary Sciences
dc.titleImpact of an Educational Intervention Implanted in a Neurological Intensive Care Unit on Rates of Infection Related to External Ventricular Drains
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus37
hcfmusp.contributor.author-fmusphcEDUARDO FERNANDES CAMACHO
hcfmusp.contributor.author-fmusphcICARO BOSZCZOWSKI
hcfmusp.contributor.author-fmusphcMARISTELA PINHEIRO FREIRE
hcfmusp.contributor.author-fmusphcFERNANDO CAMPOS GOMES PINTO
hcfmusp.contributor.author-fmusphcTHAIS GUIMARAES
hcfmusp.contributor.author-fmusphcMANOEL JACOBSEN TEIXEIRA
hcfmusp.contributor.author-fmusphcSILVIA FIGUEIREDO COSTA
hcfmusp.description.articlenumbere50708
hcfmusp.description.issue2
hcfmusp.description.volume8
hcfmusp.origemWOS
hcfmusp.origem.pubmed23390486
hcfmusp.origem.scopus2-s2.0-84873517633
hcfmusp.origem.wosWOS:000314691100002
hcfmusp.publisher.citySAN FRANCISCO
hcfmusp.publisher.countryUSA
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hcfmusp.remissive.sponsorshipCAPES
hcfmusp.scopus.lastupdate2024-04-12
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