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THE IMPACT OF NURSING MANAGEMENT IN REDUCING SHUNT INFECTION IN NEUROSURGICAL INTENSIVE CARE UNIT

Research Authors
Ghada S. K. Mahran, Mona A. Mohammed, Mervat A. Abd El-Aziz
and Ahmed E. Al-Geriany
Research Department
Research Journal
EL-MINIA MED. BULL.
Research Member
Research Publisher
NULL
Research Rank
2
Research Vol
Vol. 22 No. 1
Research Website
NULL
Research Year
2011
Research_Pages
NULL
Research Abstract

Shunt infection continues to be the single most frustrating complication in case of CSF shunt insertion.
Method: This retrospect active study was done during yea (1/9/2008 - 1/9/2009). The study design was retrospective explorer research design . Two tools were used to conduct this study. Tool one: "preoperative assessment sheet". This tool assess patient's condition in the preoperative period. Tool two:" postoperative assessment sheet". This tool assess patient's condition in the postoperative period. The main results: The finding of the current study revealed that the incidence of VP shunt infection was 20.8%. The preventive measures of VP shunt infection done by the critical care nurse such as prophylactic antibiotic, aseptic technique when handling shunt and during dressing, good skin preparation by antiseptic solution and mouth care were highly significant (P = 0.000***) in reducing VP shunt infection. The finding of the current study revealed that the most common organisms which caused VP shunt infection were staphylococci epidermidis and s. aurous.
Conclusion: strict aseptic technique during caring of shunt, prophylactic antibiotic and standard nursing care have critical role in the prevention and reduction of shunt infection .