A Registry for Comparing Catheter-Related Infection Rates Among Various Shunt Systems in the Treatment of Hydrocephalus
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ClinicalTrials.gov Identifier: NCT00280904 |
Recruitment Status
:
Completed
First Posted
: January 24, 2006
Results First Posted
: March 8, 2013
Last Update Posted
: March 8, 2013
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Condition or disease | Intervention/treatment |
---|---|
Hydrocephalus | Device: Shunt catheter |
Clinical trials show that the majority of infections in shunt systems originate from bacterial contamination introduced at the time of surgery and most appear by 3-4 weeks post-operatively. Protection must persist well beyond the surgical procedure to make certain that all contaminating bacteria are completely eradicated.
Depending upon the institution, shunt infection rates have been known to be as little as 1% to as much as 25%. However, two prospective trials that have been published from large databases, with a consistent definition of infection, have indicated an overall infection rate of approximately 10%
This prospective non-randomized, open-label Registry is designed to investigate and identify short-term shunt/catheter-related infection rates in ventriculoperitoneal shunt systems using various catheters during hospital standard of care treatment of Subjects with hydrocephalus. Prospective Subjects will include those receiving shunts for the first time (de novo) and those with previously implanted shunts for whom catheter or total system replacements are required.
This Registry will enroll 450 implanted Subjects of any age who meet all the inclusion criteria and none of the exclusion criteria and who provide signed Informed Consent to participate in this clinical Registry
Subjects will be followed for up to 90 days.
Study Type : | Observational |
Actual Enrollment : | 433 participants |
Observational Model: | Cohort |
Time Perspective: | Prospective |
Official Title: | A Registry for Comparing Catheter-Related Infection Rates Among Various Shunt Systems in the Treatment of Hydrocephalus |
Study Start Date : | January 2006 |
Actual Primary Completion Date : | April 2008 |
Actual Study Completion Date : | April 2008 |

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Device: Shunt catheter
- Number of Subjects With Shunt Infections [ Time Frame: Implantation to Explant ]Number of shunt infections occurring in subjects implanted with antibiotic impregnated catheters and standard catheters.
- Non-infectious Antibiotic Impregnated (AI) and Standard Catheter Subjects With Shunt Failures [ Time Frame: April 2008 ]

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Ages Eligible for Study: | Child, Adult, Senior |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Sampling Method: | Non-Probability Sample |
Inclusion Criteria:
- The Subject requires a surgical procedure to implant (de novo) a ventriculoperitoneal shunt or to replace an already implanted shunt catheter for the treatment of hydrocephalus.
- The Subject (family member/legal representative) has completed the Informed Consent process prior to enrollment into this Registry.
- The Subject (family member/legal representative) is willing to comply with the Registry protocol timelines & requirements.
Exclusion Criteria:
- The Subject's planned shunt has distal drainage to the heart.
- The Subject has an active infection of the indwelling shunt system, cerebrospinal fluid or abdominal cavity.
- The Subject has ventriculitis, peritonitis or meningitis.
- The Subject has sepsis.
- The Subject has a history of poor wound healing.
- The Subject has symptoms pertaining to: a skin infection at or near the site of any incisions; an ear infection on either side; a respiratory tract infection; or a urinary tract infection that, in the Investigator's opinion is clinically significant and might compromise the outcome of this Registry.
- The Subject has had any form of bowel surgery 30 days prior to device implant or anticipates bowel surgery within 90 days following device implant
- The Subject has loculation(s) within the ventricular system.
- The Subject is otherwise determined by the Investigator to be medically unsuitable for participation in this Registry.
- The Subject is currently enrolled in another drug or device trial or has been previously entered in this trial.
- The Subject exhibits other difficulties, which would preclude follow-up for 90 days.
- The Subject is a prisoner.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00280904
United States, Illinois | |
Children's memorial Hospital | |
Chicago, Illinois, United States, 60614 | |
United States, Pennsylvania | |
Penn State Milton S. Hershey Medical Center | |
Hershey, Pennsylvania, United States, 17033 | |
Canada, British Columbia | |
British Columbia Children's Hospital | |
Vancouver, British Columbia, Canada, V6H 3V4 | |
China | |
Prince of Wales Hospital | |
Beijing, China | |
Ua Shan Hospital | |
Shanghai, China, 200040 | |
Hong Kong | |
Queen Mary Hospital | |
Hong Kong, Hong Kong | |
India | |
All India Insitute of Medical Sciences | |
New Delhi, India, 110029 | |
Singapore | |
National Neuroscience Institute | |
Singapore, Singapore, 308433 |
Study Chair: | Paul Steinbok, MBBS, FRCSC | University of British Columbia |
Publications of Results:
Responsible Party: | Codman & Shurtleff |
ClinicalTrials.gov Identifier: | NCT00280904 History of Changes |
Other Study ID Numbers: |
CRI-IN04-001 |
First Posted: | January 24, 2006 Key Record Dates |
Results First Posted: | March 8, 2013 |
Last Update Posted: | March 8, 2013 |
Last Verified: | February 2013 |
Keywords provided by Codman & Shurtleff:
Hydrocephalus Shunt |
Additional relevant MeSH terms:
Hydrocephalus Catheter-Related Infections Brain Diseases |
Central Nervous System Diseases Nervous System Diseases Infection |