Clinical Trial: A Registry for Comparing Catheter-Related Infection Rates Among Various Shunt Systems in the Treatment of Hydrocephalus

Study Status: Completed
Recruit Status: Completed
Study Type: Observational

Official Title: A Registry for Comparing Catheter-Related Infection Rates Among Various Shunt Systems in the Treatment of Hydrocephalus

Brief Summary: The purpose of this Registry is to compare shunt/catheter-related infection rates among various shunt systems when used according to hospital standard of care to treat hydrocephalus.

Detailed Summary:

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.


Sponsor: Codman & Shurtleff

Current Primary Outcome: 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.


Original Primary Outcome: The primary outcome for this Registry is shunt/catheter-related infection within the context of treatment using a ventriculoperitoneal shunt system

Current Secondary Outcome: Non-infectious Antibiotic Impregnated (AI) and Standard Catheter Subjects With Shunt Failures [ Time Frame: April 2008 ]

Original Secondary Outcome:

  • Non-Infectious Catheter Failure
  • Catheter/shunt Obstruction


Information By: Codman & Shurtleff

Dates:
Date Received: January 20, 2006
Date Started: January 2006
Date Completion:
Last Updated: February 5, 2013
Last Verified: February 2013