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The Prophylactic Use of Gentamicin in EVDS

Barnieh, Hilda
; 
Conrad, Brianna
; 
Forbes, Ciara
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Genre
Poster (Research)
Date
2016
Advisor
Committee member
Group
Temple University. Hospital
Department
Nursing
Subject
Brain--Ventricles--Surgery
 Cerebrospinal fluid
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http://hdl.handle.net/20.500.12613/9122
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TUHS Nurse Residency EBP Projects
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DOI
http://dx.doi.org/10.34944/dspace/9085
Abstract
The purpose of this evidence based practice project was to determine if the use of gentamicin reduced the risk of ventriculitis in our neurosurgical patients with EVDs compared to normal saline solution. A comprehensive review of literature yielded seven references, including one from the 1980s and one clinical practice guideline. There is no recommendation in any of our sources indicating that prophylactic use of gentamicin in our EVD collection tubing reduces the risk of ventriculitis. Furthermore, it is discouraged to prophylactically change the external ventricular device throughout the duration of intracranial pressure (ICP) monitoring and cerebral spinal fluid (CSF) collection due to the risk of secondary contamination.
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