Effects of bundle-based preventive care on healthcare-associated infection control in neurosurgical patients

This study aims to investigate the effects of bundle-based preventive care on the control of healthcare-associated infections (HAIs) in patients undergoing neurosurgical procedures.

One hundred and twenty patients who underwent neurosurgery were enrolled and randomly assigned, using a random number table method, to either the control group (n = 60), which received routine nursing care, or the observation group (n = 60), which bundle-based preventive care. The incidence of HAIs, antibiotic usage, and pathogen detection rates were compared between the two groups. In addition, adverse events and length of hospital stay were recorded. Nursing quality and patient satisfaction were also evaluated.

The observation group showed significantly better outcomes than the control group. Specifically, its HAI rate (6.67% vs. 21.67%) and total pathogen detection rate (6.67% vs. 20.00%) were significantly lower (p < 0.05). The use of dual and triple antibiotic regimens was also reduced (p < 0.05). Moreover, the observation group experienced fewer adverse events and a shorter hospital stay (p < 0.05). Nursing quality scores - including hand hygiene, disinfection and isolation, nursing communication, and documentation - were all higher in the observation group (p < 0.05). Patient satisfaction was significantly improved as well (95.00% vs. 83.33%, p < 0.05).

Bundle-based preventive care can effectively reduce postoperative HAIs and antibiotic usage in neurosurgical patients, lower the incidence of adverse events, and significantly improve nursing quality and patient satisfaction.