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Wajd N. Al-Holou, Thomas J. Wilson, Zarina S. Ali, Ryan P. Brennan, Kelly J. Bridges, Tannaz Guivatchian, Ghaith Habboub, Ajit A. Krishnaney, Giuseppe Lanzino, Kendall A. Snyder, Tracy M. Flanders, Khoi D. Than and Aditya S. Pandey

the infection rate between the group without gastrostomy tubes at the University of Michigan (16%) and the group without gastrostomy tubes at Oregon Health & Science University (1%). Part of this may be accounted for by differences in record keeping and documentation. Additionally, although five different high-volume institutions participated in this study, the total number of infections was still low, which may limit our analyses. The study is also limited in that all shunt infections may not be accounted for. Specifically, any shunt infection recognized and