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. Author manuscript; available in PMC: 2010 Oct 13.
Published in final edited form as: J Neurosurg Pediatr. 2010 Sep;6(3):277–285. doi: 10.3171/2010.5.PEDS09457

TABLE 2.

Characteristics in children with and without CSF shunt reinfection at 6 months

No. of Patients (%) or Median (IQR)

Factor w/o Reinfection w/ Reinfection p Value
no. of patients 575 100

initial CSF shunt placement

   age 0.37

      ≤30 days 197 (34.3) 36 (36.0)
      1–6 mos 168 (29.2) 32 (32.0)
      6–48 mos 136 (23.7) 16 (16.0)
      ≥48 mos 74 (12.9) 16 (16.0)

   sex 0.94

      male 308 (53.6) 54 (54.0)
      female 267 (46.4) 46 (46.0)

   race/ethnicity 0.78

      non-Latino white 274 (50.4) 47 (49.5)
      non-Latino black 136 (25.0) 24 (25.3)
      Latino 64 (11.8) 14 (14.7)
      Asian 12 (2.2) 3 (3.2)
      other 58 (10.7) 7 (7.4)

   payer 0.64

      public 294 (51.1) 55 (55.0)
      private 164 (28.5) 24 (24.0)
      other 117 (20.3) 21 (21.0)

    indication for shunt placement

      IVH 66 (11.5) 11 (11.0) 0.89
      myelomeningocele 66 (11.5) 6 (6.0) 0.10
      CNS tumor 50 (8.7) 10 (10.0) 0.67
      meningitis 14 (2.4) 4 (4.0) 0.37
      trauma 10 (1.7) 0 (0.0) 0.18

    comorbidities 0.63

      none 392 (68.2) 67 (67.0)
      1 151 (26.3) 25 (25.0)
      ≥2 35 (5.6) 8 (8.0)

    distal shunt location 0.96

      VP 563 (97.9) 98 (98.0)
      other 12 (2.1) 2 (2.0)

initial CSF shunt infection

    age 0.67

      ≤30 days 19 (3.3) 4 (4.0)
      1–6 mos 200 (34.3) 40 (40.0)
      6–48 mos 241 (41.9) 40 (40.0)
      ≥48 mos 115 (20.0) 16 (16.0)
interval CSF shunt revisions 1 (1, 2) 1 (1, 2) 0.43
interval time from initial shunt placement (days) 79 (28–360) 50 (22–229) 0.06
interval time from last op (days) 34 (17–100) 23 (14–50) 0.03

hospital vol 0.77

    1–20 28 (4.9) 7(7.0)
    21–40 155 (27.0) 31 (31.0)
    41–60 292 (50.8) 46 (46.0)
    ≥61 100 (17.4) 16 (16.0)

surgeon vol 0.50

    ≤10 181 (31.5) 32 (32.0)
    11–20 223 (38.8) 42 (42.0)
    21–30 97 (16.9) 11 (11.0)
    >30 74 (12.9) 15 (15.0)

op approach to initial shunt infection (483 patients)

    shunt removal/new shunt placement 242 (58.7) 44 (62.0) 0.61
    externalization 47 (11.4) 12 (16.9) 0.19
    nonop management 49 (11.9) 15 (21.1) 0.03
    complete shunt removal 74 (18.0) 0 (0.0) <0.001
duration of intravenous antibiotic use (days) 9 (0–16) 7.5 (0–17) 0.98