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Epidural analgesia was associated with an infection attack rate of 0.08% (4 of 4,832 patients), a risk that is decreased by maintaining a closed system during the analgesia course.
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Supports closed epidural systems to limit infection; observational data leave open need for prospective confirmation before practice change.
Four infections were identified among 4,832 patients receiving epidural analgesia (an attack rate of 0.08%). The infections involved cesarean-section patients and occurred within a 9-month period. Findings suggest that the risk of infection is decreased by maintaining a closed system for the duration of the analgesia course.
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Brooks et al. (1995) studied this question. Epidural analgesia was associated with an infection attack rate of 0.08% (4 of 4,832 patients), a risk that is decreased by maintaining a closed system during the analgesia course.
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