A Multidisciplinary Infection Control Bundle to Reduce the Number of Spinal Cord Stimulator Infections

Erlangga Yusuf; Sven Bamps; Bénédicte Thüer; Jan Mattheussen; Jean-Paul Ursi; Elke Del Biondo; Kris de Smedt; Raf Van Paesschen; Dirk Berghmans; Kaat Hofkens; Jef Van Schaeren; Tony van Havenbergh; Bruno Van Herendael

doi:10.1111/ner.12555

A Multidisciplinary Infection Control Bundle to Reduce the Number of Spinal Cord Stimulator Infections

Erlangga Yusuf, Sven Bamps, Bénédicte Thüer, Jan Mattheussen, Jean-Paul Ursi, Elke Del Biondo, Kris de Smedt, Raf Van Paesschen, Dirk Berghmans, Kaat Hofkens, Jef Van Schaeren, Tony van Havenbergh, Bruno Van Herendael

Research output: Contribution to journal › Article › Academic › peer-review

16 Citations (Scopus)

Abstract

OBJECTIVE: To investigate the effect of a quality improvement project that resulted in an infection control bundle to reduce the number of spinal cord stimulator (SCS) infections.

MATERIALS AND METHODS: The study was performed in a single center for neuromodulation from January 1, 2014, through May 31, 2016. In response to a high number of surgical site infections (SSIs) after SCS surgery, a multidisciplinary team analyzed the surgical process and developed an infection prevention bundle consisting of five items: 1) showering and decolonization for five days prior to surgery and showering in the hospital on the morning of surgery; 2) performing the SCS implantation as the first in the daily operating room (OR) program; 3) maintaining a minimal number of people in the OR; 4) providing home care nurses with a folder with SCS wound care instructions including pictures; 5) giving oral specific wound care instructions to patients. The number of infections was calculated for the baseline, implementation, and sustainability phases.

RESULTS: A total of 410 SCS surgeries were performed during the study period. In the preintervention phase, 26/249 (10.4%) SCS surgeries were infected. During the implementation and sustainability phase, 2/59 (3.4%) and 1/102 (1.0%) SCS surgeries were infected, respectively. The reduction in the number of infections in pre and postintervention phase was statistically significant (p = 0.003).

CONCLUSION: Multidisciplinary measures to reduce SSIs reduced the number of SCS associated infections in our study setting.

Original language	English
Pages (from-to)	563-566
Number of pages	4
Journal	Neuromodulation : journal of the International Neuromodulation Society
Volume	20
Issue number	6
DOIs	https://doi.org/10.1111/ner.12555
Publication status	Published - 1 Aug 2017
Externally published	Yes

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Yusuf, E., Bamps, S., Thüer, B., Mattheussen, J., Ursi, J.-P., Del Biondo, E., de Smedt, K., Van Paesschen, R., Berghmans, D., Hofkens, K., Van Schaeren, J., van Havenbergh, T., & Van Herendael, B. (2017). A Multidisciplinary Infection Control Bundle to Reduce the Number of Spinal Cord Stimulator Infections. Neuromodulation : journal of the International Neuromodulation Society, 20(6), 563-566. https://doi.org/10.1111/ner.12555

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title = "A Multidisciplinary Infection Control Bundle to Reduce the Number of Spinal Cord Stimulator Infections",

abstract = "OBJECTIVE: To investigate the effect of a quality improvement project that resulted in an infection control bundle to reduce the number of spinal cord stimulator (SCS) infections.MATERIALS AND METHODS: The study was performed in a single center for neuromodulation from January 1, 2014, through May 31, 2016. In response to a high number of surgical site infections (SSIs) after SCS surgery, a multidisciplinary team analyzed the surgical process and developed an infection prevention bundle consisting of five items: 1) showering and decolonization for five days prior to surgery and showering in the hospital on the morning of surgery; 2) performing the SCS implantation as the first in the daily operating room (OR) program; 3) maintaining a minimal number of people in the OR; 4) providing home care nurses with a folder with SCS wound care instructions including pictures; 5) giving oral specific wound care instructions to patients. The number of infections was calculated for the baseline, implementation, and sustainability phases.RESULTS: A total of 410 SCS surgeries were performed during the study period. In the preintervention phase, 26/249 (10.4%) SCS surgeries were infected. During the implementation and sustainability phase, 2/59 (3.4%) and 1/102 (1.0%) SCS surgeries were infected, respectively. The reduction in the number of infections in pre and postintervention phase was statistically significant (p = 0.003).CONCLUSION: Multidisciplinary measures to reduce SSIs reduced the number of SCS associated infections in our study setting.",

author = "Erlangga Yusuf and Sven Bamps and B{\'e}n{\'e}dicte Th{\"u}er and Jan Mattheussen and Jean-Paul Ursi and {Del Biondo}, Elke and {de Smedt}, Kris and {Van Paesschen}, Raf and Dirk Berghmans and Kaat Hofkens and {Van Schaeren}, Jef and {van Havenbergh}, Tony and {Van Herendael}, Bruno",

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Yusuf, E, Bamps, S, Thüer, B, Mattheussen, J, Ursi, J-P, Del Biondo, E, de Smedt, K, Van Paesschen, R, Berghmans, D, Hofkens, K, Van Schaeren, J, van Havenbergh, T & Van Herendael, B 2017, 'A Multidisciplinary Infection Control Bundle to Reduce the Number of Spinal Cord Stimulator Infections', Neuromodulation : journal of the International Neuromodulation Society, vol. 20, no. 6, pp. 563-566. https://doi.org/10.1111/ner.12555

TY - JOUR

T1 - A Multidisciplinary Infection Control Bundle to Reduce the Number of Spinal Cord Stimulator Infections

AU - Yusuf, Erlangga

AU - Bamps, Sven

AU - Thüer, Bénédicte

AU - Mattheussen, Jan

AU - Ursi, Jean-Paul

AU - Del Biondo, Elke

AU - de Smedt, Kris

AU - Van Paesschen, Raf

AU - Berghmans, Dirk

AU - Hofkens, Kaat

AU - Van Schaeren, Jef

AU - van Havenbergh, Tony

AU - Van Herendael, Bruno

PY - 2017/8/1

Y1 - 2017/8/1

N2 - OBJECTIVE: To investigate the effect of a quality improvement project that resulted in an infection control bundle to reduce the number of spinal cord stimulator (SCS) infections.MATERIALS AND METHODS: The study was performed in a single center for neuromodulation from January 1, 2014, through May 31, 2016. In response to a high number of surgical site infections (SSIs) after SCS surgery, a multidisciplinary team analyzed the surgical process and developed an infection prevention bundle consisting of five items: 1) showering and decolonization for five days prior to surgery and showering in the hospital on the morning of surgery; 2) performing the SCS implantation as the first in the daily operating room (OR) program; 3) maintaining a minimal number of people in the OR; 4) providing home care nurses with a folder with SCS wound care instructions including pictures; 5) giving oral specific wound care instructions to patients. The number of infections was calculated for the baseline, implementation, and sustainability phases.RESULTS: A total of 410 SCS surgeries were performed during the study period. In the preintervention phase, 26/249 (10.4%) SCS surgeries were infected. During the implementation and sustainability phase, 2/59 (3.4%) and 1/102 (1.0%) SCS surgeries were infected, respectively. The reduction in the number of infections in pre and postintervention phase was statistically significant (p = 0.003).CONCLUSION: Multidisciplinary measures to reduce SSIs reduced the number of SCS associated infections in our study setting.

AB - OBJECTIVE: To investigate the effect of a quality improvement project that resulted in an infection control bundle to reduce the number of spinal cord stimulator (SCS) infections.MATERIALS AND METHODS: The study was performed in a single center for neuromodulation from January 1, 2014, through May 31, 2016. In response to a high number of surgical site infections (SSIs) after SCS surgery, a multidisciplinary team analyzed the surgical process and developed an infection prevention bundle consisting of five items: 1) showering and decolonization for five days prior to surgery and showering in the hospital on the morning of surgery; 2) performing the SCS implantation as the first in the daily operating room (OR) program; 3) maintaining a minimal number of people in the OR; 4) providing home care nurses with a folder with SCS wound care instructions including pictures; 5) giving oral specific wound care instructions to patients. The number of infections was calculated for the baseline, implementation, and sustainability phases.RESULTS: A total of 410 SCS surgeries were performed during the study period. In the preintervention phase, 26/249 (10.4%) SCS surgeries were infected. During the implementation and sustainability phase, 2/59 (3.4%) and 1/102 (1.0%) SCS surgeries were infected, respectively. The reduction in the number of infections in pre and postintervention phase was statistically significant (p = 0.003).CONCLUSION: Multidisciplinary measures to reduce SSIs reduced the number of SCS associated infections in our study setting.

U2 - 10.1111/ner.12555

DO - 10.1111/ner.12555

M3 - Article

C2 - 28116797

SN - 1094-7159

VL - 20

SP - 563

EP - 566

JO - Neuromodulation : journal of the International Neuromodulation Society

JF - Neuromodulation : journal of the International Neuromodulation Society

IS - 6

ER -

A Multidisciplinary Infection Control Bundle to Reduce the Number of Spinal Cord Stimulator Infections

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