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2010 Neurological Institute Outcomes - Cleveland Clinic

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Pediatric Neurosurgery<br />

Surgical site infection rates decreased in <strong>2010</strong>, at least partly due to efforts to improve perioperative antibiotic timing.<br />

Infection rates in primary shunts decreased from 12 percent in 2009 to zero in <strong>2010</strong>.<br />

Surgical Site Infection Rate for Primary Shunts<br />

Rate per 100 Clean Cases (%)<br />

15<br />

10<br />

5<br />

0<br />

N =<br />

2007<br />

18<br />

<strong>Neurological</strong> <strong>Institute</strong><br />

2008<br />

15<br />

Surgical Site Infection Rate for Shunt Revisions<br />

Rate per 100 Clean Cases (%)<br />

18<br />

12<br />

6<br />

0<br />

N =<br />

2007<br />

34<br />

2008<br />

18<br />

2009<br />

17<br />

2009<br />

26<br />

0<br />

<strong>2010</strong><br />

12<br />

<strong>2010</strong><br />

28<br />

N = number of clean cases per<br />

year. Per Centers for Disease<br />

Control and Prevention (CDC)<br />

guidelines, “clean cases” are<br />

defined as uninfected operative<br />

wounds in which no inflammation<br />

is encountered and, in the case of<br />

brain tumor surgery, neither the<br />

respiratory nor the alimentary tract<br />

is entered.<br />

101

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