How do we change practice?

OBJECT: The goal of this video lecture was to show the importance to research group organizing protocols to reduce cerebrospinal fluid (CSF) shunt infection at Hydrocephalus Clinical Research Network (HCRN) centers (from 8.7% to 5.7%). Antibiotic-impregnated catheters (AICs) were not part of the pro...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autor principal:	John Kestle
Formato:	article
Lenguaje:	EN
Publicado:	Brazilian Society for Pediatric Neurosurgery 2021
Materias:	hydrocephalus shunt infection protocol Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/506a0712c2dd4f1eb59b846fe5723820
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:506a0712c2dd4f1eb59b846fe5723820
record_format	dspace
spelling	oai:doaj.org-article:506a0712c2dd4f1eb59b846fe57238202021-11-23T21:46:36ZHow do we change practice?2675-362610.46900/apn.v3i2(May-August).93https://doaj.org/article/506a0712c2dd4f1eb59b846fe57238202021-04-01T00:00:00Zhttps://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/93https://doaj.org/toc/2675-3626OBJECT: The goal of this video lecture was to show the importance to research group organizing protocols to reduce cerebrospinal fluid (CSF) shunt infection at Hydrocephalus Clinical Research Network (HCRN) centers (from 8.7% to 5.7%). Antibiotic-impregnated catheters (AICs) were not part of the protocol but were used off protocol by some surgeons. The authors therefore began using a new protocol that included AICs in an effort to reduce the infection rate further. The improvement of quality was related to reduce variation and improve outcome. METHODS The previous protocol was implemented at HCRN centers on January 1, 2012, for all shunt procedures (excluding external ventricular drains [EVDs], ventricular reservoirs, and subgaleal shunts). Compliance with the protocol and outcome events up to March 30, 2014, were recorded. The actual protocol is based on 7 points (HCRNq centers): intravenous antibiotics, skin preparation, hand scrub, double gloves, iodophoretic surgical field, catheter and antibiotics, and vancomycin irrigation RESULTS. Before protocol implementation in 30 participating centers, and 1318 subjects (1571 surgical cases) enrolled the overall infection rate was 6.0% (95% CI 5.1%-7.2%). The actual infection rate when using this new protocol has been analyzed. CONCLUSIONS CSF shunt procedures performed in compliance with a new infection prevention protocol at HCRNq centers had a lower infection rate than noncompliant procedures. Based on the current data, HCRNq centers the role of AICs compared with other infection prevention measures is still under analysis.John KestleBrazilian Society for Pediatric Neurosurgeryarticlehydrocephalusshunt infectionprotocolPediatricsRJ1-570SurgeryRD1-811ENArchives of Pediatric Neurosurgery, Vol 3, Iss 2(May-August), Pp e932021-e932021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hydrocephalus shunt infection protocol Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	hydrocephalus shunt infection protocol Pediatrics RJ1-570 Surgery RD1-811 John Kestle How do we change practice?
description	OBJECT: The goal of this video lecture was to show the importance to research group organizing protocols to reduce cerebrospinal fluid (CSF) shunt infection at Hydrocephalus Clinical Research Network (HCRN) centers (from 8.7% to 5.7%). Antibiotic-impregnated catheters (AICs) were not part of the protocol but were used off protocol by some surgeons. The authors therefore began using a new protocol that included AICs in an effort to reduce the infection rate further. The improvement of quality was related to reduce variation and improve outcome. METHODS The previous protocol was implemented at HCRN centers on January 1, 2012, for all shunt procedures (excluding external ventricular drains [EVDs], ventricular reservoirs, and subgaleal shunts). Compliance with the protocol and outcome events up to March 30, 2014, were recorded. The actual protocol is based on 7 points (HCRNq centers): intravenous antibiotics, skin preparation, hand scrub, double gloves, iodophoretic surgical field, catheter and antibiotics, and vancomycin irrigation RESULTS. Before protocol implementation in 30 participating centers, and 1318 subjects (1571 surgical cases) enrolled the overall infection rate was 6.0% (95% CI 5.1%-7.2%). The actual infection rate when using this new protocol has been analyzed. CONCLUSIONS CSF shunt procedures performed in compliance with a new infection prevention protocol at HCRNq centers had a lower infection rate than noncompliant procedures. Based on the current data, HCRNq centers the role of AICs compared with other infection prevention measures is still under analysis.
format	article
author	John Kestle
author_facet	John Kestle
author_sort	John Kestle
title	How do we change practice?
title_short	How do we change practice?
title_full	How do we change practice?
title_fullStr	How do we change practice?
title_full_unstemmed	How do we change practice?
title_sort	how do we change practice?
publisher	Brazilian Society for Pediatric Neurosurgery
publishDate	2021
url	https://doaj.org/article/506a0712c2dd4f1eb59b846fe5723820
work_keys_str_mv	AT johnkestle howdowechangepractice
_version_	1718416092122054656

How do we change practice?

Ejemplares similares