Dokumentasjon av systematisk litteratursøk

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1 Dokumentasjon av systematisk litteratursøk Spørsmål fra PICO-skjema: Minimalisere antall infeksjoner knyttet til bruk av ekstern ventrikkeldrenasje UpToDate external ventricular drain, ventriculostomy Antall treff: Infections of central nervous system shunts and other devices intraventricular hemorrhage Evaluation and management of elevated intracranial pressure in adults Management of severe traumatic brain injury Best Practice Se gjennom tilstander: neurosurgery, neurology, critical care medicine Søk: External ventricular drain/s/age, Shunt/s, drain/s/age, ventriculostomy (sett på retningslinjer) Antall treff: Evaluation and management of elevated intracranial pressure in adults Guidelines From the Guidelines Committee of Idiopathic Normal Pressure Hydrocephalus, the Japanese Society of Normal Pressure Hydrocephalus (Guideline) INPH guidelines: Part IV, surgical management of idiopathic normal pressure hydrocephalus Individually assess risk-benefit ratio for placement of a shunt for each patient. Shunt responders should be identified whenever possible using appropriate techniques (CSF tap test, CSF Ro, external lumbar drainage). Ventriculoperitoneal and ventriculoatrial shunts are typically used. Adjustable valves are preferred. Published by: INPH Guidelines Committee Last published: 2005 (Guideline)

2 Guidelines for the management of spontaneous intracerebral hemorrhage in adults update: a guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group(external link) Published by: American Heart Association Clinical Evidence Dato for søk: Sett gjennom: Neurological disorders, Infectious diseases Drain/s/age, shunt/s, ventriculostomy Canadian Prehospital Evidence Based Protocols (EHS) Sett gjennom: Table of contents GAC guidelines advisory committee Sett gjennom: GAC endorsed guidelines

3 Sett gjennom: Infeksjon, Nevrologi Fant ingen Agree vurderte aktuelle retningslinjer NICE Shunt/s, drain/s/age, ventriculostomy (I feltet; search NICE guidence) Sett gjennom; NICE guidence by topics: Central nervous system, Infectious diseases, surgical procedures Antall treff: 2 Lumbar subcutaneous shunt (Completed interventional procedures IPG Number: IPG68) Surgical site infections (Clinical guidelines CG74) Center for kliniske retningslinjer Sett gjennom Få retningslinjer er publisert National Guideline Clearing House NGC Browse - Treatment/Intervention > Analytical, Diagnostic and Therapeutic Techniques and Equipment > Therapeutics > Drainage

4 Antall treff: Søk: evd*, external ventricular drain*, catheter*, shunt*, ventriculostomy O'Grady NP, Barie PS, Bartlett JG, Bleck T, Carroll K, Kalil AC, Linden P, Maki DG, Nierman D, Pasculle W, Masur H, American College of Critical Care Medicine, Infectious Diseases Society of America. Guidelines for evaluation of new fever in critically ill adult patients: 2008 update from the American College of Critical Care Medicine and the Infectious Diseases Society of America. Crit Care Med 2008 Apr;36(4): [202 references] PubMed American Association of Neuroscience Nurses. Nursing management of adults with severe traumatic brain injury. Glenview (IL): American Association of Neuroscience Nurses; p. [152 references] Brain Trauma Foundation, American Association of Neurological Surgeons, Congress of Neurological Surgeons. Guidelines for the management of severe traumatic brain injury. Infection prophylaxis. J Neurotrauma 2007;24(Suppl 1):S26-S31. [27 references] Broderick J, Connolly S, Feldmann E, Hanley D, Kase C, Krieger D, Mayberg M, Morgenstern L, Ogilvy CS, Vespa P, Zuccarello M, American Heart Association, American Stroke Association Stroke Council, High Blood Pressure Research Council, Quality of Care and Outcomes in Research Interdisciplinary Working Group. Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update. Stroke 2007 Jun;38(6): American Association of Neuroscience Nurses. Care of the patient with aneurysmal subarachnoid hemorrhage. Glenview (IL): American Association of Neuroscience Nurses; p. [140 references] Care of the patient with aneurysmal subarachnoid hemorrhage. American Association of Neuroscience Nurses - Professional Association pages. NGC: Brain Trauma Foundation, American Association of Neurological Surgeons, Congress of Neurological Surgeons. Guidelines for the management of severe traumatic brain injury. Intracranial pressure monitoring technology. J Neurotrauma 2007;24(Suppl 1):S45-S54. [41 references] Strategies to prevent surgical site infections in acute care hospitals Oct. NGC: Infectious Diseases Society of America - Medical Specialty Society; Society for Healthcare Epidemiology of America - Professional Association.

5 Guidelines on routine cerebrospinal fluid analysis. Report from an EFNS task force Sep. NGC: European Federation of Neurological Societies - Medical Specialty Society Prevention of surgical site infections. In: Prevention and control of healthcare-associated infections in Massachusetts G-I-N Guidelines International Network Shunt*, drain*, ventriculostomy, evd*,catheter* Limit Publication type: Guideline Antall treff: 1 Lumbar subcutaneous shunt (IPG68) (Samme som i NICE) Dato for søk: The Joanna Briggs Institute Sett gjennom: Library of systematic reviews, Best practice Antall treff: 2 The Impact of Preoperative Hair Removal on Surgical Site Infection Solutions, Techniques and Pressure in Wound Cleansing

6 Cochrane Library Dato for søk: #1 (external* ventricular drain*):ti,ab,kw #2 (evd*):ti,ab,kw #3 (extraventricular drain*):ti,ab,kw #4 (ventricular shunt*):ti,ab,kw #5 (ventricular catheter*):ti,ab,kw #6 (cerebrospinal fluid drain*):ti,ab,kw #7 (ventriculostom*):ti,ab,kw #8 MeSH descriptor Cerebrospinal Fluid Shunts, this term only #9 (#1 OR #2 OR #3 OR #4 OR #5 OR #6 OR #7 OR #8) Antall treff: Cochrane reviews 9 Dato for søk: Other reviews 9 Søkte etter Cochrane reviews og Other reviews. Søkte derfor på kun på P (PICO) uten avgrensninger. PubMed > Clinical Queries > Systematiske oversikter (external ventricular drain* OR extraventricular drain* OR evd* OR ventricular shunt* OR ventricular catheter* OR ventriculostom* OR cerebrospinal fluid drain*) AND systematic[sb] Antall treff: 47 Clinical Queries: Systematic reviews gir treff på mer enn systematiske oversikter

7 MEDLINE OVID Dato for søk: og Søk 1 1 external* ventricular drain*.mp. 2 evd*.mp. 3 extraventricular drain*.mp. 4 ventricular shunt*.mp. 5 ventricular catheter*.mp. 6 cerebrospinal fluid drain*.mp. 7 Ventriculostomy/ 8 ventriculostom*.mp. 9 Cerebrospinal Fluid Shunts/ 10 1 or 2 or 3 or 4 or 5 or 6 or 7 or 8 or 9 11 exp "bacterial infections and mycoses"/ 12 exp Central Nervous System Infections/ 13 (infection* or ventriculitis or meningitis or encephalit*).mp or 12 or and limit 15 to ("therapy (optimized)" or "reviews (optimized)") 17 guideline*.mp and or Søk 2 Antall treff: 1 external* ventricular drain*.mp. 2 Ventriculostomy/ 3 ventriculostom*.mp. 4 1 or 2 or 3 5 exp "bacterial infections and mycoses"/ 6 exp Central Nervous System Infections/ 7 (ventriculitis or meningitis or encephalit*).mp. 8 5 or 6 or and 8 Søk (opprinnelig 01.06): 259 treff Søk 07.06: 418 treff. Brukte Reference Manager for sortere ut dubletter med EMBASE Store trefflister da en ikke har funnet noe god oppsummert kunnskap slik at en kan avgrense på år. Vurdere å utelate MESH-emneordet Cerebrospinal fluid shunts i neste omgang. SØK Ble gjennomført p.g.a få relevante treff i første søk. Første søk ble avgrenset med søkefiltrene Therapy/Review. Etter gjennomgang av trefflisten kan det se ut som om det er få RCT er på dette emnet. Av hensyn til stor treffmengde velges derfor kun de mest sentrale søkeordene og det legges ikke på filtre i søk nummer 2.

8 EMBASE OVID Dato for søk: og Søk 1 1 external* ventricular drain*.mp. or external ventricular drain/ 2 evd*.mp. 3 extraventricular drain*.mp. 4 ventricular shunt*.mp. 5 ventricular catheter*.mp. 6 cerebrospinal fluid drainage/ or cerebrospinal fluid drain*.mp. 7 cerebrospinal fluid shunting/ 8 brain ventricle shunt/ 9 ventriculostom*.mp or 2 or 3 or 4 or 5 or 6 or 7 or 8 or 9 11 exp nervous system inflammation/ 12 exp infection/ 13 (infection* or ventriculitis or meningitis or encephalit*).mp or 12 or and limit 15 to ("reviews (2 or more terms min difference)" or "treatment (2 or more terms min difference)") 17 guideline*.mp and or Søk 2 Antall treff: 1 external* ventricular drain*.mp. or external ventricular drain/ 2 extraventricular drain*.mp. 3 ventriculostom*.mp. 4 1 or 2 or 3 5 exp nervous system inflammation/ 6 exp infection/ 7 (ventriculitis or meningitis or encephalit*).mp. 8 5 or 6 or and 8 Søk (opprinnelig 01.06): 254 treff Søk 07.06: 490 treff Brukte Reference Manager for sortere ut dubletter med MEDLINE SØK Ble gjennomført p.g.a få relevante treff i første søk. Første søk ble avgrenset med søkefiltrene Treatment/Reviews. Etter gjennomgang av trefflisten kan det se ut som om det er få RCT er på dette emnet. Av hensyn til stor treffmengde velges derfor kun de mest sentrale søkeordene og det legges ikke på filtre i søk nummer 2. CINAHL Dato for søk:

9 S16 S10 and S15 S15 S11 or S12 or S13 or S14 S14 TX meningitis OR encephalit* OR ventriculitis S13 (MH "Central Nervous System Infections+") S12 (MH "Bacterial Infections+") S11 (MH "Infection+") OR infection* S10 S1 or S2 or S3 or S4 or S5 or S6 or S7 or S8 or S9 S9 TX cerebrospinal fluid drain* S8 TX ventricular catheter* S7 TX ventricular shunt* S6 TX extraventricular drain* S5 TX evd* S4 TX external* ventricular drain* S3 TX ventriculostom* S2 (MH "Ventriculostomy") S1 (MH "Cerebrospinal Fluid Shunts") Antall treff: 72 SveMed Dato for søk: evd$ OR extraventr$ OR ekstraventr$ OR ekstern ventrik$ OR extern ventrik$ OR ventriculostomy OR "cerebrospinal fluid" OR shunt$ OR drain$ AND infection$ OR meningit$ OR hjernehinnebetennelse$ OR hjernebetennelse$ OR hjärnhinneinnflammation$ OR hjärninflammation$ OR encefalit$ OR encephalit$ OR ventrikulit$ OR ventriculitis Antall treff: 21