Zero rate of shunt infection in the first postoperative year in children--dream or reality?
The rate of infectious complications following shunt implantations at the Pierre Wertheimer Hospital was 6.4% in 1992-1994. In order to improve this infection rate, new recommendations for surgery were applied and a new type of valve was used. The effects of these measures after a 1-year follow-up were analyzed in 70 patients. The rate of infection was zero, 2.8, and 4.3% at 2, 6, and 12 months, respectively. A case-control study did not reveal any significant risk factor among the patient and surgical factors analyzed.
Mottolese
C
C
Service de Neurochirurgie Pédiatrique, Hôpital Neurologique et Neurochirurgical Pierre Wertheimer, Lyon, France.
Grando
J
J
Convert
J
J
Abdoulrahman
M
M
Lelievre
H
H
Vandenesch
F
F
Bret
P
P
Lapras
C
C
D000293:Adolescent; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000601:surgery*; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000517:prevention & control*; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000209:etiology / Q000517:prevention & control*; D017287:Ventriculoperitoneal Shunt / Q000295:instrumentation*