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Risk factors for infection and the effect of an institutional shunt protocol on the incidence of ventricular access device infections in preterm infants.

Authors
  • Spader, Heather S
  • Hertzler, Dean A
  • Kestle, John R W
  • Riva-Cambrin, Jay
Type
Published Article
Journal
Journal of Neurosurgery Pediatrics
Publisher
Journal of Neurosurgery Publishing Group
Publication Date
Feb 01, 2015
Volume
15
Issue
2
Pages
156–160
Identifiers
DOI: 10.3171/2014.9.PEDS14215
PMID: 25479576
Source
Medline
Keywords
License
Unknown

Abstract

Gestational age at procedure and previous meningitis were significant risk factors for VAD infections. In addition, the implementation of an institutional standardized shunt protocol for ventriculoperitoneal shunts may have altered the operating room team's behavior, indicated by a nonmandated use of intrathecal antibiotics in VAD surgeries, contributing to a reduced VAD infection rate. Although the observed difference was not statistically significant with the small sample size, the authors believe that these findings deserve further study.

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