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The antibiotic-impregnated ventriculoperitoneal shunt reduced infection whereas the silver did not; the antibiotic shunt is likely to be cost-saving.

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Conor L Mallucci 1,*, Michael D Jenkinson 2,3, Elizabeth J Conroy 4, John C Hartley 5, Michaela Brown 4, Tracy Moitt 4, Joanne Dalton 4, Tom Kearns 4, Michael J Griffiths 6,7, Giovanna Culeddu 8, Tom Solomon 6,9, Dyfrig Hughes 8, Carrol Gamble 4,

1 Department of Paediatric Neurosurgery, Alder Hey Children’s NHS Foundation Trust, Liverpool, UK
2 Department of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, UK
3 Institute of Translational Medicine, University of Liverpool, Liverpool, UK
4 Liverpool Clinical Trials Centre, University of Liverpool, Liverpool, UK
5 Department of Microbiology, Great Ormond Street Hospital for Children, London, UK
6 Institute of Infection and Global Health, University of Liverpool, Liverpool, UK
7 Department of Paediatric Neurology, Alder Hey Children’s NHS Foundation Trust, Liverpool, UK
8 Centre for Health Economics and Medicines Evaluation, Bangor University, Bangor, UK
9 Department of Neurology, The Walton Centre NHS Foundation Trust, Liverpool, UK
* Corresponding author Email: cmallucci@me.com

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