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Risk factors for first cerebrospinal fluid shunt infection: findings from a multi-center prospective cohort study.

Identifieur interne : 002B96 ( PubMed/Curation ); précédent : 002B95; suivant : 002B97

Risk factors for first cerebrospinal fluid shunt infection: findings from a multi-center prospective cohort study.

Auteurs : Tamara D. Simon [États-Unis] ; Jeremiah Butler [États-Unis] ; Kathryn B. Whitlock [États-Unis] ; Samuel R. Browd [États-Unis] ; Richard Holubkov [États-Unis] ; John R W. Kestle [États-Unis] ; Abhaya V. Kulkarni [Canada] ; Marcie Langley [États-Unis] ; David D. Limbrick [États-Unis] ; Nicole Mayer-Hamblett [États-Unis] ; Mandeep Tamber [États-Unis] ; John C. Wellons [États-Unis] ; William E. Whitehead [États-Unis] ; Jay Riva-Cambrin [États-Unis]

Source :

The Journal of pediatrics [ 1097-6833 ] ; 2014.

RBID : pubmed:24661340

Descripteurs français

English descriptors

KwdEn :
- Adolescent, Age Distribution, Bacterial Infections (diagnosis), Bacterial Infections (epidemiology), Bacterial Infections (therapy), Cerebrospinal Fluid (microbiology), Cerebrospinal Fluid Shunts (adverse effects), Cerebrospinal Fluid Shunts (methods), Child, Child, Preschool, Cohort Studies, Female, Follow-Up Studies, Humans, Hydrocephalus (diagnosis), Hydrocephalus (surgery), Incidence, Infant, Infant, Newborn, Male, Multivariate Analysis, Postoperative Complications (diagnosis), Postoperative Complications (epidemiology), Postoperative Complications (surgery), Proportional Hazards Models, Prospective Studies, Registries, Reoperation (methods), Sex Distribution, Surgical Wound Infection (diagnosis), Surgical Wound Infection (epidemiology), Surgical Wound Infection (surgery), Treatment Outcome.
MESH :
- adverse effects : Cerebrospinal Fluid Shunts.
- diagnosis : Bacterial Infections, Hydrocephalus, Postoperative Complications, Surgical Wound Infection.
- epidemiology : Bacterial Infections, Postoperative Complications, Surgical Wound Infection.
- methods : Cerebrospinal Fluid Shunts, Reoperation.
- microbiology : Cerebrospinal Fluid.
- surgery : Hydrocephalus, Postoperative Complications, Surgical Wound Infection.
- therapy : Bacterial Infections.
- Adolescent, Age Distribution, Child, Child, Preschool, Cohort Studies, Female, Follow-Up Studies, Humans, Incidence, Infant, Infant, Newborn, Male, Multivariate Analysis, Proportional Hazards Models, Prospective Studies, Registries, Sex Distribution, Treatment Outcome.

Abstract

To quantify the extent to which cerebrospinal fluid (CSF) shunt revisions are associated with increased risk of CSF shunt infection, after adjusting for patient factors that may contribute to infection risk.

DOI: 10.1016/j.jpeds.2014.02.013
PubMed: 24661340

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Le document en format XML

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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Missouri (État)</region>
</placeName>
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</affiliation>
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<author><name sortKey="Mayer Hamblett, Nicole" sort="Mayer Hamblett, Nicole" uniqKey="Mayer Hamblett N" first="Nicole" last="Mayer-Hamblett">Nicole Mayer-Hamblett</name>
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<author><name sortKey="Tamber, Mandeep" sort="Tamber, Mandeep" uniqKey="Tamber M" first="Mandeep" last="Tamber">Mandeep Tamber</name>
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<country xml:lang="fr">États-Unis</country>
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<term>Age Distribution</term>
<term>Bacterial Infections (diagnosis)</term>
<term>Bacterial Infections (epidemiology)</term>
<term>Bacterial Infections (therapy)</term>
<term>Cerebrospinal Fluid (microbiology)</term>
<term>Cerebrospinal Fluid Shunts (adverse effects)</term>
<term>Cerebrospinal Fluid Shunts (methods)</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Hydrocephalus (diagnosis)</term>
<term>Hydrocephalus (surgery)</term>
<term>Incidence</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Male</term>
<term>Multivariate Analysis</term>
<term>Postoperative Complications (diagnosis)</term>
<term>Postoperative Complications (epidemiology)</term>
<term>Postoperative Complications (surgery)</term>
<term>Proportional Hazards Models</term>
<term>Prospective Studies</term>
<term>Registries</term>
<term>Reoperation (methods)</term>
<term>Sex Distribution</term>
<term>Surgical Wound Infection (diagnosis)</term>
<term>Surgical Wound Infection (epidemiology)</term>
<term>Surgical Wound Infection (surgery)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Analyse multivariée</term>
<term>Complications postopératoires ()</term>
<term>Complications postopératoires (diagnostic)</term>
<term>Complications postopératoires (épidémiologie)</term>
<term>Dérivations du liquide céphalorachidien ()</term>
<term>Dérivations du liquide céphalorachidien (effets indésirables)</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Enregistrements</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hydrocéphalie ()</term>
<term>Hydrocéphalie (diagnostic)</term>
<term>Incidence</term>
<term>Infection de plaie opératoire ()</term>
<term>Infection de plaie opératoire (diagnostic)</term>
<term>Infection de plaie opératoire (épidémiologie)</term>
<term>Infections bactériennes ()</term>
<term>Infections bactériennes (diagnostic)</term>
<term>Infections bactériennes (épidémiologie)</term>
<term>Liquide cérébrospinal (microbiologie)</term>
<term>Modèles de hasards proportionnels</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Nouveau-né</term>
<term>Réintervention ()</term>
<term>Répartition par sexe</term>
<term>Répartition par âge</term>
<term>Résultat thérapeutique</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Cerebrospinal Fluid Shunts</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Bacterial Infections</term>
<term>Hydrocephalus</term>
<term>Postoperative Complications</term>
<term>Surgical Wound Infection</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Complications postopératoires</term>
<term>Hydrocéphalie</term>
<term>Infection de plaie opératoire</term>
<term>Infections bactériennes</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Dérivations du liquide céphalorachidien</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Bacterial Infections</term>
<term>Postoperative Complications</term>
<term>Surgical Wound Infection</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cerebrospinal Fluid Shunts</term>
<term>Reoperation</term>
</keywords>
<keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Liquide cérébrospinal</term>
</keywords>
<keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Cerebrospinal Fluid</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Hydrocephalus</term>
<term>Postoperative Complications</term>
<term>Surgical Wound Infection</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Bacterial Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Complications postopératoires</term>
<term>Infection de plaie opératoire</term>
<term>Infections bactériennes</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Age Distribution</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Incidence</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Male</term>
<term>Multivariate Analysis</term>
<term>Proportional Hazards Models</term>
<term>Prospective Studies</term>
<term>Registries</term>
<term>Sex Distribution</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Analyse multivariée</term>
<term>Complications postopératoires</term>
<term>Dérivations du liquide céphalorachidien</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Enregistrements</term>
<term>Femelle</term>
<term>Humains</term>
<term>Hydrocéphalie</term>
<term>Incidence</term>
<term>Infection de plaie opératoire</term>
<term>Infections bactériennes</term>
<term>Modèles de hasards proportionnels</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Nouveau-né</term>
<term>Réintervention</term>
<term>Répartition par sexe</term>
<term>Répartition par âge</term>
<term>Résultat thérapeutique</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
<term>Études prospectives</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">To quantify the extent to which cerebrospinal fluid (CSF) shunt revisions are associated with increased risk of CSF shunt infection, after adjusting for patient factors that may contribute to infection risk.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24661340</PMID>
<DateCreated><Year>2014</Year>
<Month>05</Month>
<Day>26</Day>
</DateCreated>
<DateCompleted><Year>2014</Year>
<Month>08</Month>
<Day>18</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>10</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1097-6833</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>164</Volume>
<Issue>6</Issue>
<PubDate><Year>2014</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>The Journal of pediatrics</Title>
<ISOAbbreviation>J. Pediatr.</ISOAbbreviation>
</Journal>
<ArticleTitle>Risk factors for first cerebrospinal fluid shunt infection: findings from a multi-center prospective cohort study.</ArticleTitle>
<Pagination><MedlinePgn>1462-8.e2</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jpeds.2014.02.013</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0022-3476(14)00114-0</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To quantify the extent to which cerebrospinal fluid (CSF) shunt revisions are associated with increased risk of CSF shunt infection, after adjusting for patient factors that may contribute to infection risk.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">We used the Hydrocephalus Clinical Research Network registry to assemble a large prospective 6-center cohort of 1036 children undergoing initial CSF shunt placement between April 2008 and January 2012. The primary outcome of interest was first CSF shunt infection. Data for initial CSF shunt placement and all subsequent CSF shunt revisions prior to first CSF shunt infection, where applicable, were obtained. The risk of first infection was estimated using a multivariable Cox proportional hazard model accounting for patient characteristics and CSF shunt revisions, and is reported using hazard ratios (HRs) with 95% CI.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 102 children who developed first infection within 12 months of placement, 33 (32%) followed one or more CSF shunt revisions. Baseline factors independently associated with risk of first infection included: gastrostomy tube (HR 2.0, 95% CI, 1.1, 3.3), age 6-12 months (HR 0.3, 95% CI, 0.1, 0.8), and prior neurosurgery (HR 0.4, 95% CI, 0.2, 0.9). After controlling for baseline factors, infection risk was most significantly associated with the need for revision (1 revision vs none, HR 3.9, 95% CI, 2.2, 6.5; ≥2 revisions, HR 13.0, 95% CI, 6.5, 24.9).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study quantifies the elevated risk of infection associated with shunt revisions observed in clinical practice. To reduce risk of infection risk, further work should optimize revision procedures.</AbstractText>
<CopyrightInformation>Copyright © 2014 The Authors. Published by Mosby, Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Simon</LastName>
<ForeName>Tamara D</ForeName>
<Initials>TD</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, University of Washington/Seattle Children's Hospital, Seattle, WA; Center for Clinical and Translational Research, Seattle Children's Research Institute, Seattle, WA. Electronic address: Tamara.Simon@seattlechildrens.org.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Butler</LastName>
<ForeName>Jeremiah</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, University of Utah, Salt Lake City, UT.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Whitlock</LastName>
<ForeName>Kathryn B</ForeName>
<Initials>KB</Initials>
<AffiliationInfo><Affiliation>Center for Clinical and Translational Research, Seattle Children's Research Institute, Seattle, WA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Browd</LastName>
<ForeName>Samuel R</ForeName>
<Initials>SR</Initials>
<AffiliationInfo><Affiliation>Department of Neurosurgery, University of Washington/Seattle Children's Hospital, Seattle, WA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Holubkov</LastName>
<ForeName>Richard</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, University of Utah, Salt Lake City, UT.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kestle</LastName>
<ForeName>John R W</ForeName>
<Initials>JR</Initials>
<AffiliationInfo><Affiliation>Division of Pediatric Neurosurgery, Department of Neurosurgery, Primary Children's Medical Center, University of Utah, Salt Lake City, UT.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kulkarni</LastName>
<ForeName>Abhaya V</ForeName>
<Initials>AV</Initials>
<AffiliationInfo><Affiliation>Division of Neurosurgery, Hospital for Sick Children, University of Toronto, Toronto, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Langley</LastName>
<ForeName>Marcie</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Division of Pediatric Neurosurgery, Department of Neurosurgery, Primary Children's Medical Center, University of Utah, Salt Lake City, UT.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Limbrick</LastName>
<ForeName>David D</ForeName>
<Initials>DD</Initials>
<Suffix>Jr</Suffix>
<AffiliationInfo><Affiliation>Department of Neurosurgery, St Louis Children's Hospital, Washington University in Saint Louis, St Louis, MO.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mayer-Hamblett</LastName>
<ForeName>Nicole</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, University of Washington/Seattle Children's Hospital, Seattle, WA; Center for Clinical and Translational Research, Seattle Children's Research Institute, Seattle, WA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tamber</LastName>
<ForeName>Mandeep</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Division of Neurosurgery, Children's Hospital of Pittsburgh, Pittsburgh, PA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wellons</LastName>
<ForeName>John C</ForeName>
<Initials>JC</Initials>
<Suffix>3rd</Suffix>
<AffiliationInfo><Affiliation>Section of Pediatric Neurosurgery, Division of Neurosurgery, Children's Hospital of Alabama, University of Alabama-Birmingham, Birmingham, AL.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Whitehead</LastName>
<ForeName>William E</ForeName>
<Initials>WE</Initials>
<AffiliationInfo><Affiliation>Division of Pediatric Neurosurgery, Department of Neurosurgery, Texas Children's Hospital, Baylor College of Medicine, Houston, TX.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Riva-Cambrin</LastName>
<ForeName>Jay</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Division of Pediatric Neurosurgery, Department of Neurosurgery, Primary Children's Medical Center, University of Utah, Salt Lake City, UT.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><CollectiveName>Hydrocephalus Clinical Research Network</CollectiveName>
</Author>
</AuthorList>
<Language>eng</Language>
<GrantList CompleteYN="Y"><Grant><GrantID>K23 NS062900</GrantID>
<Acronym>NS</Acronym>
<Agency>NINDS NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant><GrantID>UL1 RR025014</GrantID>
<Acronym>RR</Acronym>
<Agency>NCRR NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant><GrantID>RC1 NS068943</GrantID>
<Acronym>NS</Acronym>
<Agency>NINDS NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant><GrantID>1RC1NS068943-01</GrantID>
<Acronym>NS</Acronym>
<Agency>NINDS NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant><GrantID>K23NS062900</GrantID>
<Acronym>NS</Acronym>
<Agency>NINDS NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant><GrantID>ULI RR025014</GrantID>
<Acronym>RR</Acronym>
<Agency>NCRR NIH HHS</Agency>
<Country>United States</Country>
</Grant>
</GrantList>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016448">Multicenter Study</PublicationType>
<PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2014</Year>
<Month>03</Month>
<Day>21</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Pediatr</MedlineTA>
<NlmUniqueID>0375410</NlmUniqueID>
<ISSNLinking>0022-3476</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017677" MajorTopicYN="N">Age Distribution</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001424" MajorTopicYN="N">Bacterial Infections</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002555" MajorTopicYN="N">Cerebrospinal Fluid</DescriptorName>
<QualifierName UI="Q000382" MajorTopicYN="Y">microbiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002557" MajorTopicYN="N">Cerebrospinal Fluid Shunts</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006849" MajorTopicYN="N">Hydrocephalus</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015999" MajorTopicYN="N">Multivariate Analysis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016016" MajorTopicYN="N">Proportional Hazards Models</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012042" MajorTopicYN="N">Registries</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012086" MajorTopicYN="N">Reoperation</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017678" MajorTopicYN="N">Sex Distribution</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013530" MajorTopicYN="N">Surgical Wound Infection</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<OtherID Source="NLM">NIHMS567816</OtherID>
<OtherID Source="NLM">PMC4035376</OtherID>
<InvestigatorList><Investigator ValidYN="Y"><LastName>Bey</LastName>
<ForeName>Amita</ForeName>
<Initials>A</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Luther</LastName>
<ForeName>Arlene</ForeName>
<Initials>A</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>O'Connor</LastName>
<ForeName>Lindsay</ForeName>
<Initials>L</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Agrawal</LastName>
<ForeName>Megha</ForeName>
<Initials>M</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Habrock-Bach</LastName>
<ForeName>Tracey</ForeName>
<Initials>T</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Anderson</LastName>
<ForeName>Amy</ForeName>
<Initials>A</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Ryan</LastName>
<ForeName>Sheila</ForeName>
<Initials>S</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Mercer</LastName>
<ForeName>Deanna</ForeName>
<Initials>D</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Nunn</LastName>
<ForeName>Nichol</ForeName>
<Initials>N</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Yearley</LastName>
<ForeName>Jeff</ForeName>
<Initials>J</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Miskin</LastName>
<ForeName>Michelle</ForeName>
<Initials>M</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Dong</LastName>
<ForeName>Lydia</ForeName>
<Initials>L</Initials>
</Investigator>
<Investigator ValidYN="Y"><LastName>Shannon</LastName>
<ForeName>Chevis N</ForeName>
<Initials>CN</Initials>
</Investigator>
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</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year>
<Month>10</Month>
<Day>02</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2013</Year>
<Month>12</Month>
<Day>04</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2014</Year>
<Month>02</Month>
<Day>04</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2014</Year>
<Month>3</Month>
<Day>26</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<ArticleId IdType="pii">S0022-3476(14)00114-0</ArticleId>
<ArticleId IdType="doi">10.1016/j.jpeds.2014.02.013</ArticleId>
<ArticleId IdType="pmc">PMC4035376</ArticleId>
<ArticleId IdType="mid">NIHMS567816</ArticleId>
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   |area=    PittsburghV1
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   |type=    RBID
   |clé=     pubmed:24661340
   |texte=   Risk factors for first cerebrospinal fluid shunt infection: findings from a multi-center prospective cohort study.
}}

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Risk factors for first cerebrospinal fluid shunt infection: findings from a multi-center prospective cohort study.

Risk factors for first cerebrospinal fluid shunt infection: findings from a multi-center prospective cohort study.

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