title: Healthcare savings associated with reduced infection rates using antimicrobial suture wound closure for cerebrospinal fluid shunt procedures.
abstract: OBJECTIVE
  This is a follow-up study from a recent randomized controlled trial conducted at the Women and Children's Hospital of Buffalo that investigated the use of antimicrobial sutures (AMS) for wound closure during cerebrospinal fluid shunting procedures. Our purpose was to determine the average cost of shunt infections at our institution and estimate the healthcare savings associated with reduced infection rates secondary to AMS use.
  
  
  RESULTS
  We found that the treatment and management of a shunt infection resulted in a 5.3-fold increase in hospital charges.
  
  
  CONCLUSIONS
  The potential healthcare savings associated with reduced infection rates are significant. These calculations demonstrate the profound economic effect a reduction in shunt infection rates may have on a healthcare system.
authors.affiliation: Department of Neurosurgery, Women and Children's Hospital of Buffalo, Kaleida Health, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY 14209, USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Stone
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Gruber
authors.forename: Curtis J
authors.initials: CJ
authors.lastname: Rozzelle
mesh_terms: D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects / Q000191:economics*; D002648:Child; D017046:Cost Savings; D017721:Hospital Costs; D006776:Hospitals, Pediatric / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D006849:Hydrocephalus / Q000191:economics* / Q000628:therapy; D017053:Infection Control / Q000191:economics*; D007902:Length of Stay / Q000706:statistics & numerical data; D016032:Randomized Controlled Trials as Topic; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000191:economics* / Q000517:prevention & control*; D013536:Suture Techniques / Q000191:economics*