However, the lack of compliance by senior doctors is a worrying trend because it has been shown that the infection control measures of junior staff are influenced by their seniors; junior staff members were less likely to wash their hands (odds ratio 0.2) if an accompanying senior staff member did not wash their hands. 12 There are varying practices regarding aseptic technique for lumbar punctures amongst doctors, with significant differences according to grade and level of experience.
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Wearing facemasks when performing lumbar punctures: a snapshot of current practice amongst trainee doctors.
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The sentences
Given that postdural puncture infections are rare, it is highly significant that there are reports of clustering of cases, suggesting that the operator has a role to play in the etiology.