Skip to main content
Top
Published in: Acta Neurochirurgica 12/2018

01-12-2018 | Original Article - Infection

The implementation of an infection prevention bundle reduces surgical site infections following cranial surgery

Authors: Ann-Kathrin Jörger, Nikolaus Wimmer, Nicole Lange, Arthur Wagner, Insa Janssen, Sandro Krieg, Bernhard Meyer, Ehab Shiban

Published in: Acta Neurochirurgica | Issue 12/2018

Login to get access

Abstract

Background

The benefit of an infection prevention bundle made up of five basic procedures to avoid surgical site infections (SSIs) following cranial surgery was evaluated.

Methods

Data from all patients with first time elective brain surgery from March 2014 till May 2016 were analyzed. In April 2015, an infection prevention bundle was implemented. The rate of SSIs after first time elective cranial surgery of patients operated 1 year before and 1 year after the implementation was compared.

Results

Of the 321 cases operated before the implementation of the infection prevention bundle, 13 cases (4%) developed a SSI. After the implementation, only 6 patients out of 288 were re-operated due to a SSI (2%). The most frequent etiological germ cultivated was Staphylococcus aureus.

Conclusion

The implementation of a bundle of 5 basic infection prevention steps leads to a clinical relevant reduction of SSIs.
Literature
12.
go back to reference Magill SS, Edwards JR, Bamberg W, Beldavs ZG, Dumyati G, Kainer MA, Lynfield R, Maloney M, McAllister-Hollod L, Nadle J, Ray SM, Thompson DL, Wilson LE, Fridkin SK, Emerging Infections Program Healthcare-Associated I, Antimicrobial Use Prevalence Survey T (2014) Multistate point-prevalence survey of health care-associated infections. N Engl J Med 370:1198–1208. https://doi.org/10.1056/NEJMoa1306801 CrossRefPubMedPubMedCentral Magill SS, Edwards JR, Bamberg W, Beldavs ZG, Dumyati G, Kainer MA, Lynfield R, Maloney M, McAllister-Hollod L, Nadle J, Ray SM, Thompson DL, Wilson LE, Fridkin SK, Emerging Infections Program Healthcare-Associated I, Antimicrobial Use Prevalence Survey T (2014) Multistate point-prevalence survey of health care-associated infections. N Engl J Med 370:1198–1208. https://​doi.​org/​10.​1056/​NEJMoa1306801 CrossRefPubMedPubMedCentral
13.
go back to reference McCutcheon BA, Ubl DS, Babu M, Maloney P, Murphy M, Kerezoudis P, Bydon M, Habermann EB, Parney I (2016) Predictors of surgical site infection following craniotomy for intracranial neoplasms: an analysis of prospectively collected data in the American College of Surgeons National Surgical Quality Improvement Program Database. World neurosurgery 88:350–358. https://doi.org/10.1016/j.wneu.2015.12.068 CrossRefPubMed McCutcheon BA, Ubl DS, Babu M, Maloney P, Murphy M, Kerezoudis P, Bydon M, Habermann EB, Parney I (2016) Predictors of surgical site infection following craniotomy for intracranial neoplasms: an analysis of prospectively collected data in the American College of Surgeons National Surgical Quality Improvement Program Database. World neurosurgery 88:350–358. https://​doi.​org/​10.​1016/​j.​wneu.​2015.​12.​068 CrossRefPubMed
19.
go back to reference Weiner LM, Webb AK, Limbago B, Dudeck MA, Patel J, Kallen AJ, Edwards JR, Sievert DM (2016) Antimicrobial-resistant pathogens associated with healthcare-associated infections: summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2011-2014. Infect Control Hosp Epidemiol 37:1288–1301. https://doi.org/10.1017/ice.2016.174 CrossRefPubMed Weiner LM, Webb AK, Limbago B, Dudeck MA, Patel J, Kallen AJ, Edwards JR, Sievert DM (2016) Antimicrobial-resistant pathogens associated with healthcare-associated infections: summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2011-2014. Infect Control Hosp Epidemiol 37:1288–1301. https://​doi.​org/​10.​1017/​ice.​2016.​174 CrossRefPubMed
Metadata
Title
The implementation of an infection prevention bundle reduces surgical site infections following cranial surgery
Authors
Ann-Kathrin Jörger
Nikolaus Wimmer
Nicole Lange
Arthur Wagner
Insa Janssen
Sandro Krieg
Bernhard Meyer
Ehab Shiban
Publication date
01-12-2018
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 12/2018
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-018-3704-8

Other articles of this Issue 12/2018

Acta Neurochirurgica 12/2018 Go to the issue