Pediatric neurosurgical practice patterns designed to prevent cerebrospinal fluid shunt infection

Pediatric Neurosurgery
Thomas J GruberCurtis J Rozzelle

Abstract

Various factors have been associated with cerebrospinal fluid (CSF) shunt infection risk, leading to many recommendations intended to reduce that risk. We sought to assess current North American pediatric neurosurgical practice patterns in this regard via a web-based survey. Particular attention was paid to the use of antibiotic-impregnated materials and prophylactic perioperative antibiotics. The membership of the section on pediatric neurological surgery of the American Association of Neurological Surgeons and Congress of Neurological Surgeons was invited to complete a survey of current practices intended to minimize CSF shunt infection risk. To be eligible for participation in this study, the respondent had to maintain an active neurosurgical practice within North America and place or revise at least 25 shunts in pediatric patients (<21 years) per year. Responses to the questionnaire were then analyzed. A total of 100 responses were analyzed. All respondents were familiar with antibiotic-impregnated shunt catheters, and 61 of 100 had actually used them. Eleven of 61 respondents use them universally, 20 of 61 in >50% of cases, and 30 of 61 in <50% of cases. Antibiotic-impregnated suture material was known to 59% of respondent...Continue Reading

Citations

Feb 22, 2011·Stereotactic and Functional Neurosurgery·Nir LipsmanMark Bernstein
Dec 3, 2011·Journal of Neurosurgery. Pediatrics·Paul KlimoFrederick A Boop
Feb 15, 2014·Neurosurgical Review·Weiming LiuRob J M Groen
Feb 18, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Nehaw SarmeyRobert J Weil
Mar 17, 2015·Neurosurgery Clinics of North America·Isaac YangBrittany Voth

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