Prevention strategy for intracranial infection related to external cerebro-spinal fluid drainage tube based on evidence summary
10.12138/j.issn.1671-9638.20246123
- VernacularTitle:基于证据总结的脑脊液外引流管相关颅内感染的预防策略
- Author:
Xiao-Ju MIAO
1
,
2
;
Xian LUO
;
Zhong-Min FU
;
Jun WANG
;
Shun-Jun ZHAO
;
Li DING
;
Qing-Qing WU
;
Bo CHEN
;
Shun-Wu XIAO
Author Information
1. 遵义医科大学附属医院护理部,贵州遵义 563000
2. 遵义医科大学附属医院神经外科一病区,贵州遵义 563000
- Keywords:
external cerebrospinal fluid drainage;
intracranial infection;
prevention;
evidence
- From:
Chinese Journal of Infection Control
2024;23(9):1070-1076
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrieve and extract the best evidence for preventing intracranial infections related to ex-ternal cerebrospinal fluid(CSF)drainage,and provide evidence-based support for reducing the incidence of intracra-nial infection caused by external CSF drainage.Methods Evidence-based care issues were determined according to PIPOST,and the best evidence on intracranial infection related to external CSF drainage tube was retrieved from top to bottom.The literature retrieval period was 2013-2023.Quality control of the literatures,as well as extraction and summary of the evidence were carried out by 2 trained graduate students.Results A total of 17 literatures were included in the analysis,including 3 guidelines,5 expert consensus,8 systematic reviews,and 1 randomized con-trolled trial.Management strategies from 3 dimensions(pre-catheterization,in-catheterization and post-catheteriza-tion)were obtained,including 20 pieces of evidence for preventing intracranial infection,such as preparation for ex-ternal CSF drainage tube,precautions during catheterization,and post-catheterization disposal.Conclusion There are differences in the management of external CSF drainage tube in clinical practice.It is necessary to develop uni-fied,standardized,and rational bundle strategies to prevent intracranial infection,so as to reduce the incidence of catheter-related intracranial infection.
