뇌실외배액술 관련 뇌실염 증례보고: 감염예방을 위한 표준화된 번들 적용

초록

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.

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