Cochrane · systematic review · CD012902

Route of antibiotic prophylaxis for prevention of cerebrospinal fluid‐shunt infection

Arts, SHHMJ, Boogaarts, HD, van Lindert, EJ · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
4
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 25%Low 3 · 75%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Antibiotic prophylaxis versus no antibiotic prophylaxis / standard care for CSF‐shunt infections

Population: CSF‐shunt infections
4 questions
OutcomeEffectEvidenceStatus / GRADE
Number of participants experiencing shunt infection after administration of antibiotic prophylaxis
Antibiotic prophylaxis vs no antibiotic prophylaxis / standard care
RR 0.55 [0.36, 0.84]11 studies · 1109 participantsLow
Downgraded: imprecision, indirectness
Number of participants experiencing shunt infection after administration of intravenous antibiotic prophylaxis
Antibiotic prophylaxis vs no antibiotic prophylaxis / standard care
RR 0.55 [0.33, 0.9]8 studies · 797 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Number of participants experiencing shunt infection after administration of intrathecal antibiotic prophylaxis
Antibiotic prophylaxis vs no antibiotic prophylaxis / standard care
RR 0.73 [0.28, 1.93]2 studies · 202 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Number of participants experiencing shunt infection after implantation of antibiotic impregnated catheters
Antibiotic prophylaxis vs no antibiotic prophylaxis / standard care
RR 0.36 [0.1, 1.24]1 study · 110 participantsVery low
Downgraded: risk of bias, imprecision, indirectness