Calgary Shunt Protocol, an adaptation of the Hydrocephalus Clinical Research Network shunt protocol, reduces shunt infections in children.

  title={Calgary Shunt Protocol, an adaptation of the Hydrocephalus Clinical Research Network shunt protocol, reduces shunt infections in children.},
  author={Michael M.H. Yang and Walter J Hader and Kelly J Bullivant and Mary E Brindle and Jay K. Riva-Cambrin},
  journal={Journal of neurosurgery. Pediatrics},
OBJECTIVEThe shunt protocol developed by the Hydrocephalus Clinical Research Network (HCRN) was shown to significantly reduce shunt infections in children. However, its effectiveness had not been validated in a non-HCRN, small- to medium-volume pediatric neurosurgery center. The present study evaluated whether the 9-step Calgary Shunt Protocol, closely adapted from the HCRN shunt protocol, reduced shunt infections in children.METHODSThe Calgary Shunt Protocol was prospectively applied at… 
6 Citations
Reducing the risks of proximal and distal shunt failure in adult hydrocephalus: a shunt outcomes quality improvement study.
Introducing a shunt infection prevention protocol, placing the proximal catheter under neuronavigation, and placing the peritoneal catheter in the perihepatic space by using the falciform technique led to decreased rates of infection, distal shunt failure, and overall shunt failures.
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This study confirmed successful treatment of iNPH with VP shunting using low pressure setting of gravitational valve with overall improvement in 75% and low over drainage complications in 5% and proved statistically significant optimal cut-off for the best improvement of the symptoms as 9.5 months of the symptom duration.
Ventriculoperitoneal shunt infection rates using a standard surgical technique, including topical and intraventricular vancomycin: the Children's Hospital Oakland experience.
It is proposed that IVT and topical administration of vancomycin as part of a standardized shunt operation protocol may be an appropriate option for preventing pediatric shunt infections.
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The new tool shortened the time and number of attempts to connect a shunt catheter to a valve and neurosurgeons preferred the new tool to existing instruments.
Editorial. Implementation of quality improvement protocols.
  • J. Kestle
  • Medicine
    Journal of neurosurgery. Pediatrics
  • 2019


A new Hydrocephalus Clinical Research Network protocol to reduce cerebrospinal fluid shunt infection.
CSF shunt procedures performed in compliance with a new infection prevention protocol at HCRN centers had a lower infection rate than noncompliant procedures, similar to the authors' previously reported protocol.
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The standardized protocol for shunt surgery significantly reduced shunt infection across the Hydrocephalus Clinical Research Network and has established a common baseline within the Network, which will facilitate assessment of new treatments.
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Long-term follow-up of shunted children is necessary to evaluate the real incidence of SI and the functional outcome after SI, which was mostly due to intraoperative contamination and abdominal sepsis.
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The risk of RSI is substantial and greater effort needs to be directed towards understanding the risk factors, and a greater sample size is needed in order to obtain sufficient statistical power.
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A new effective protocol for shunt procedures involving modifications to the perioperative and intraoperative management of children undergoing initial shunt implantation or revision of children with hydrocephalus was initiated.
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Reinfection after treatment of a CSF shunt infection is alarmingly common, but the incidence of reinfection does not appear to be related to the duration of antibiotic therapy.
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