Operative Related Infection Rates for Ventriculoperitoneal Shunt Procedures in a Children's Hospital

We determined the operative related cerebrospinal fluid (CSF) shunt infection rates for our institution over a 3-year period (1982 to 1984) using strictly defined numerator and denominator data. The minimum post-operative follow-up period was 12 months. The average surgical infection risk for a CSF...

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Bibliographic Details
Published in:Infection control : IC 1987-02, Vol.8 (2), p.67-70
Main Authors: Younger, Janara J., Simmons, James C. H., Barrett, Fred F.
Format: Article
Language:English
Subjects:
Bacterial Infections - epidemiology
Cerebrospinal fluid
Cerebrospinal fluid shunts
Cerebrospinal Fluid Shunts - adverse effects
Child
Hospitals, Pediatric
Humans
Infections
Neurosurgical procedures
Nursing
Pediatrics
Peritoneal Cavity
Postoperative care
Risk
Staphylococcus
Surgeons
Surgical procedures
Surgical specialties
Tennessee
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Summary:We determined the operative related cerebrospinal fluid (CSF) shunt infection rates for our institution over a 3-year period (1982 to 1984) using strictly defined numerator and denominator data. The minimum post-operative follow-up period was 12 months. The average surgical infection risk for a CSF shunt procedure at our institution during the study period was 13.3%. Annual infection rates were relatively constant (13.8%, 13.2% and 12.9%), however both quarterly (5.7% to 23.3%) and surgeon-specific (5.7% to 22.8%) rates varied widely. Infection rates calculated by using "traditional" numerator and denominator data were considerably lower (6.5% to 9.2%). Operative related CSF shunt infection rates should be determined by utilizing strictly defined numerator and denominator values in order to allow valid comparisons of published rates.
ISSN:0195-9417
2327-9451
DOI:10.1017/S0195941700067102