Effect of an intraoperative double-gloving strategy on the incidence of cerebrospinal fluid shunt infection

Journal of Neurosurgery
Noel Tulipan, Mario A Cleves

Abstract

The purpose of this study was to determine the effect of double gloving on cerebrospinal fluid (CSF) shunt infection rates. Data obtained in two large groups of patients, one in which the surgical personnel wore a single pair of gloves each and the other in which the personnel wore two pairs of gloves each, were retrospectively studied. The study involved 863 patients. The overall infection rate in the single-gloved group was 15.2%, whereas it was 6.7% in the double-gloved group (p = 0.0002). Of additional interest was the marked difference between the overall shunt infection rates in younger children (< 11.3 years of age; 15.7%) and older children (> 11.3 years of age) and adults (6.7%; p < 0.00005). The strategy of wearing two pairs of gloves while performing surgery appears to reduce the incidence of postoperative shunt infection by more than 50%. The incidence of shunt infection is highly age dependent. The shunt infection rate may be further reduced by carefully studying the individual variables associated with the shunt insertion procedure.

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Citations

May 4, 2010·Journal of Neurosurgery. Pediatrics·Ken R Winston, Vinay Bhardwaj
Jun 3, 2010·Journal of Neurosurgery. Pediatrics·Atiq-Ur RehmanVikas Gupta
Sep 3, 2010·Journal of Neurosurgery. Pediatrics·Toshiaki HayashiTeiji Tominaga
Sep 25, 2012·Journal of Neurosurgery. Pediatrics·Amr AmmarMichael H Vloeberghs
Jan 20, 2007·Journal of Neurosurgery·Dominic N P ThompsonRichard D Hayward
Jul 2, 2008·Journal of Neurosurgery. Pediatrics·Toshiaki HayashiTeiji Tominaga
Aug 21, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Benoit J M PirotteJacques Brotchi
Nov 19, 2008·British Journal of Neurosurgery·P SørensenK Poulsen
Feb 9, 2016·World Neurosurgery·Anthony M BurrowsFredric B Meyer
Apr 25, 2016·The Journal of Hospital Infection·J DawodM Al Mohajer
Feb 18, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Nehaw SarmeyRobert J Weil
Jan 12, 2011·Neurosurgery·Anne-Marie KorinekLouis Puybasset
Feb 17, 2017·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Allan R TunkelJoseph R Zunt
Sep 16, 2008·Neurosurgery·James M Drake
Jun 3, 2009·Journal of Neurosurgery. Pediatrics·Ken R WinstonLori A McBride
Nov 7, 2015·Journal of Neurosurgery. Pediatrics·Nicholas B RossiPaul Klimo
Oct 11, 2014·Journal of Neurosurgery. Pediatrics·Angela E DownesGerald F Tuite
Nov 3, 2012·Neurosurgical Focus·Judith M WongAtul A Gawande
Feb 17, 2019·Journal of Neurosurgery·Yuma OkamuraYoshiaki Shiokawa
Jan 30, 2020·Expert Review of Anti-infective Therapy·Kirsten R I S DorresteijnDiederik van de Beek
Nov 28, 2019·Surgical Neurology International·Juan F VillalongaFrancisco Marcó Del Pont

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