| Total (N = 323) | Case without SSI (N = 309) | Case with SSI (N = 14) | Unadjusted logistic regression | |||||
---|---|---|---|---|---|---|---|---|---|
n | % | n | % | n | % | Odds ratio | 95% CI | p -value | |
Female | 129 | 39.9 | 212 | 68.6 | 9 | 64.3 | 1.20 | 0.39–3.69 | 0.74 |
Age(Month), median (IQR) | 139 | (33, 202) | 131 | (33, 198) | 170 | (145, 209) | 1.00 | 1.00–1.01 | 0.16 |
Age | Â | Â | Â | Â | Â | Â | Â | Â | 0.17* |
  < 1y | 43 | 13.3 | 41 | 13.3 | 2 | 14.3 | (base) |  |  |
 1-2y | 50 | 15.5 | 49 | 15.9 | 1 | 7.1 | 0.42 | 0.03–4.78 | 0.48 |
 3-10y | 60 | 18.6 | 60 | 19.4 | 0 | 0.0 |  |  |  |
 11-18y | 123 | 38.1 | 114 | 36.9 | 9 | 64.3 | 1.62 | 0.33–7.80 | 0.55 |
 18y- | 47 | 14.6 | 45 | 14.6 | 2 | 14.3 | 0.91 | 0.12–6.77 | 0.93 |
Weight(kg), median (IQR) | 33.6 | (12.7, 58.2) | 32.6 | (12.4, 57.8) | 49.8 | (35.0, 58.6) | 1.01 | 0.99–1.02 | 0.38 |
ASA Classification | Â | Â | Â | Â | Â | Â | Â | Â | Â |
 Class ≤ II | 78 | 24.1 | 75 | 24.3 | 3 | 21.4 | (base) |  |  |
 Class ≥ III | 245 | 75.9 | 234 | 75.7 | 11 | 78.6 | 1.18 | 0.32–4.32 | 0.81 |
Wound Class | Â | Â | Â | Â | Â | Â | Â | Â | 1.00* |
 1: Clean | 320 | 99.1 | 306 | 99.0 | 14 | 100.0 |  |  |  |
 2: Clean-Contaminated | 3 | 0.9 | 3 | 1.0 | 0 | 0.0 |  |  |  |
 3: Contaminated | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 |  |  |  |
 4: Dirty/Infected | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 |  |  |  |
Comorbidity | |||||||||
 Brain tumor | 93 | 28.8 | 87 | 28.2 | 6 | 42.9 | 1.91 | 0.65–5.68 | 0.24 |
 Cardiac disease | 9 | 2.8 | 7 | 2.3 | 2 | 14.3 | 7.19 | 1.35–38.35 | 0.02 |
 Gastrostomy status | 63 | 19.5 | 58 | 18.8 | 5 | 35.7 | 2.40 | 0.78–7.44 | 0.13 |
 Prematurity (GA < 37 week) | 6 | 1.9 | 6 | 1.9 | 0 | 0.0 |  |  | 1.00* |
Procedure | Â | Â | Â | Â | Â | Â | Â | Â | 1.00* |
 V-P shunt | 306 | 94.7 | 292 | 94.5 | 14 | 100.0 |  |  |  |
 V-A shunt | 7 | 2.2 | 7 | 2.3 | 0 | 0.0 |  |  |  |
 L-P shunt | 10 | 3.1 | 10 | 3.2 | 0 | 0.0 |  |  |  |
Number of shunt revision, mean (SD) | 1 | (2,4) | 2 | (1,4) | 3 | (1,6) | 1.12 | 0.99–1.27 | 0.07 |
Emergent surgery | 198 | 61.3 | 190 | 61.5 | 8 | 57.1 | 0.84 | 0.28–2.47 | 0.74 |
Duration of surgery(min), median(IQR) | 77 | (56, 108) | 77 | (56, 108) | 76 | (60, 96) | 1.00 | 0.99–1.01 | 0.92 |
Prophylactic antibiotics | 320 | 99.1 | 306 | 99.0 | 14 | 100.0 | – |  | 1.00* |
 Cefazolin | 274 | 84.8 | 264 | 85.4 | 10 | 71.4 | 0.43 | 0.13–1.42 | 0.16 |
 Ampicillin | 1 | 0.3 | 1 | 0.3 | 0 | 0.0 |  |  | 1.00* |
 Cefoxitin | 1 | 0.3 | 1 | 0.3 | 0 | 0.0 |  |  | 1.00* |
 Ciprofloxacin | 4 | 1.2 | 4 | 1.3 | 0 | 0.0 |  |  | 1.00* |
 Cefepime | 5 | 1.5 | 4 | 1.3 | 1 | 7.1 | 5.87 | 0.61–56.2 | 0.13 |
 Ceftazidime | 1 | 0.3 | 1 | 0.3 | 0 | 0.0 |  |  | 1.00* |
 Ceftriaxone | 5 | 1.5 | 5 | 1.6 | 0 | 0.0 |  |  | 1.00* |
 Clindamycin | 19 | 5.9 | 16 | 5.2 | 3 | 21.4 | 4.99 | 1.27–19.70 | 0.02 |
 Metronidazole | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 |  |  |  |
 Vancomycin | 23 | 7.1 | 21 | 6.8 | 2 | 14.3 | 2.29 | 0.48–10.89 | 0.3 |
 Meropenem | 3 | 0.9 | 3 | 1.0 | 0 | 0.0 |  |  | 1.00* |
Surgeon n = 10 | – | – | – | – | – | – |  |  | 0.54* |
Skin preparation agent | Â | Â | Â | Â | Â | Â | Â | Â | 0.93* |
 None | 36 | 11.1 | 35 | 11.3 | 1 | 7.1 | (base) |  |  |
 CHG-alcohol(Chloraprep™) | 235 | 72.8 | 224 | 72.5 | 11 | 78.6 | 1.72 | 0.22–13.72 | 0.61 |
 Povidone-iodine | 17 | 5.3 | 16 | 5.2 | 1 | 7.1 | 2.19 | 0.13–37.22 | 0.59 |
 Povidone-iodine and CHG-alcohol | 5 | 1.5 | 5 | 1.6 | 0 | 0.0 |  |  |  |
 Povidone-iodine and alcohol | 28 | 8.7 | 27 | 8.7 | 1 | 7.1 | 1.30 | 0.08–21.68 | 0.86 |
 CHG, alcohol, and povidone-iodine | 2 | 0.6 | 2 | 0.6 | 0 | 0.0 |  |  |  |
Average temperature (°C), median (IQR) | 36.0 | (35.6, 36.4) | 36.0 | (35.6, 36.4) | 35.1 | (35.1, 35.1) | 0.18 | 0.01–2.93 | 0.23 |
Minimum temperature(°C), median (IQR) | 35.4 | (34.8, 35.9) | 35.4 | (34.8, 35.9) | 34.9 | (34.9, 34.9) | 0.44 | 0.03–7.06 | 0.56 |
Propofol (mg/kg), median(IQR)a | 2.9 | (2.0, 4.7) | 2.9 | (1.4, 3.8) | 3.0 | (2.1, 6.3) | 1.00 | 0.91–1.10 | 0.96 |
ET sevoflurane, median(IQR)a | 192 | (102, 293) | 192 | (102, 298) | 172 | (116, 253) | 1.00 | 0.996–1.003 | 0.78 |
ET isoflurane, median(IQR)a | 0 | (0, 0) | 0 | (0, 0) | 0 | (0, 0) | 0.99 | 0.97–1.01 | 0.29 |
O2 flow, median(IQR)a | 347 | (272, 440) | 347 | (271, 451) | 340 | (278, 425) | 1.00 | 0.996–1.004 | 0.99 |