Archive for January 2012

HCRN Simplifies Shunt Surgery Protocol

Last summer, HCRN reported a reduced infection rate using a standardized protocol for shunt surgery1. Since those data went for analysis, we have almost doubled the number of patients on the protocol (now over 3000). We recently reviewed the additional information and our protocol and we are making some changes. The new protocol will be shorter and simpler (which may further enhance compliance). Some steps have been removed and others added. We hope to analyze the new approach in about a year and see if we have further reduced shunt infection.  
1 Kestle J, Riva-Cambrin J, Wellons JC 3rd, Kulkarni AV, Whitehead WE, Walker ML, Oakes JM, Luerssen TG, Simon TD, Holubkov, for the Hydrocephalus Clinical Research Network:  A standardized protocol to reduce cerebrospinal fluid shunt infection: The HCRN Quality Improvement Initiative. J Neurosurg Pediatr 8(1): 22-29