SA Health has contacted the families of 13 children after it was revealed syringes used in surgical procedures were not sterile.
The syringes were used to inject antibiotics as part of a procedure the Women’s and Children’s Hospital in North Adelaide has undertaken since 2013 during cerebrospinal shunt surgery.
A recent review of the practice revealed a lapse in infection control, which meant the syringes were delivered to the surgical theatre in a sealed bag.
They were clean but had not been sterilised.
SA Health said the risk of infection to affected children was extremely low but it would monitor them in accordance with usual practice.
It is the latest in a series of bungles within South Australia’s public health system, which has includedleukaemia patients getting the wrong chemotherapy dose and men getting false positives on prostate cancer tests.
SA Health said it changed practices as soon as it was identified the syringes were not sterile.
It said the procedure of using antibiotics in cerebrospinal shunt surgery had reduced the infection rate by 50 per cent.