Ventriculoperitoneal Shunt Infection and Treatment in Children

Purpose: The most important complication of ventriculoperitoneal shunt (VPS) surgery is central nervous system infections developing in the postoperative period. The incidence of VPS infection in cases with VPS inserted is known to be between 6.5-23.5%. The aim of this study is to evaluate the treat...

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Main Authors: Eren Cagan, Ahmet Soysal, Askin seker, Mustafa seker
Format: Article
Language:English
Published: Cukurova University 2015-03-01
Series:Çukurova Üniversitesi Tıp Fakültesi Dergisi
Subjects:
Online Access:http://www.scopemed.org/fulltextpdf.php?mno=164576
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spelling doaj-43197d249543430ebada403c6c567b9b2020-11-24T23:22:55ZengCukurova UniversityÇukurova Üniversitesi Tıp Fakültesi Dergisi0250-51502015-03-014017279164576Ventriculoperitoneal Shunt Infection and Treatment in ChildrenEren Cagan0Ahmet Soysal1Askin seker2Mustafa seker3Gaziantep Cocuk Hastanesi, Cocuk Enfeksiyon Hastaliklari, Gaziantep, TURKiYE Marmara Universitesi Tip Fakultesi Cocuk Enfeksiyon Hastaliklari Bilim Dali, istanbul, Turkiye Docent Doktor, Marmara Universitesi Tip Fakultesi Beyin ve Sinir Cerrahisi AD, istanbul, Turkiye Marmara Universitesi Tip Fakultesi Cocuk Enfeksiyon Hastaliklari Bilim Dali, istanbul, TurkiyePurpose: The most important complication of ventriculoperitoneal shunt (VPS) surgery is central nervous system infections developing in the postoperative period. The incidence of VPS infection in cases with VPS inserted is known to be between 6.5-23.5%. The aim of this study is to evaluate the treatment and complications relating to VPS surgery infections in pediatric patients with hydrocephalus. Material and Methods: Patients between January 2011 and January 2013 with VPS inserted for hydrocephalus and complications relating to infections after surgical intervention were included in the study. The patient files were retrospectively investigated and analyzed. Patients were evaluated based on demographic characteristics, etiology of hydrocephalus, date of shunt insertion, operation notes from the VPS insertion operation, microbiological and biochemical test results on CSF samples after diagnosis of VPS infection, surgical intervention for treatment, antibiotics administered and duration of antibiotic use. Results: Thirty-five patients monitored for VPS infection diagnosis between the ages of 3 days and 16 years were evaluated. In the 35 patients monitored for VPS infection diagnosis 19 had growth in cerebrospinal fluid (CSF) while 17 patients had no growth in CSF but inflammatory findings were present. The most frequently isolated effective pathogens were coagulase-negative staphylococci (78%). Other microorganisms isolated in the CSF of patients were Staphylococcus aureus, Enterococcus feacalis, Enterococcus gallinarium, Pseudomonas stutzeri, Candida albicans, Streptococcus mitis and ESBL (-) Klebsiella pneumonia. While one patient died during treatment, 34 patients were successfully discharged. Conclusion: We believe that early administration of antibiotic treatment and removal of the infected shunt are of vital importance. [Cukurova Med J 2015; 40(1.000): 72-79]http://www.scopemed.org/fulltextpdf.php?mno=164576Ventriculoperitoneal ShuntInfectionChildHydrocephalus
collection DOAJ
language English
format Article
sources DOAJ
author Eren Cagan
Ahmet Soysal
Askin seker
Mustafa seker
spellingShingle Eren Cagan
Ahmet Soysal
Askin seker
Mustafa seker
Ventriculoperitoneal Shunt Infection and Treatment in Children
Çukurova Üniversitesi Tıp Fakültesi Dergisi
Ventriculoperitoneal Shunt
Infection
Child
Hydrocephalus
author_facet Eren Cagan
Ahmet Soysal
Askin seker
Mustafa seker
author_sort Eren Cagan
title Ventriculoperitoneal Shunt Infection and Treatment in Children
title_short Ventriculoperitoneal Shunt Infection and Treatment in Children
title_full Ventriculoperitoneal Shunt Infection and Treatment in Children
title_fullStr Ventriculoperitoneal Shunt Infection and Treatment in Children
title_full_unstemmed Ventriculoperitoneal Shunt Infection and Treatment in Children
title_sort ventriculoperitoneal shunt infection and treatment in children
publisher Cukurova University
series Çukurova Üniversitesi Tıp Fakültesi Dergisi
issn 0250-5150
publishDate 2015-03-01
description Purpose: The most important complication of ventriculoperitoneal shunt (VPS) surgery is central nervous system infections developing in the postoperative period. The incidence of VPS infection in cases with VPS inserted is known to be between 6.5-23.5%. The aim of this study is to evaluate the treatment and complications relating to VPS surgery infections in pediatric patients with hydrocephalus. Material and Methods: Patients between January 2011 and January 2013 with VPS inserted for hydrocephalus and complications relating to infections after surgical intervention were included in the study. The patient files were retrospectively investigated and analyzed. Patients were evaluated based on demographic characteristics, etiology of hydrocephalus, date of shunt insertion, operation notes from the VPS insertion operation, microbiological and biochemical test results on CSF samples after diagnosis of VPS infection, surgical intervention for treatment, antibiotics administered and duration of antibiotic use. Results: Thirty-five patients monitored for VPS infection diagnosis between the ages of 3 days and 16 years were evaluated. In the 35 patients monitored for VPS infection diagnosis 19 had growth in cerebrospinal fluid (CSF) while 17 patients had no growth in CSF but inflammatory findings were present. The most frequently isolated effective pathogens were coagulase-negative staphylococci (78%). Other microorganisms isolated in the CSF of patients were Staphylococcus aureus, Enterococcus feacalis, Enterococcus gallinarium, Pseudomonas stutzeri, Candida albicans, Streptococcus mitis and ESBL (-) Klebsiella pneumonia. While one patient died during treatment, 34 patients were successfully discharged. Conclusion: We believe that early administration of antibiotic treatment and removal of the infected shunt are of vital importance. [Cukurova Med J 2015; 40(1.000): 72-79]
topic Ventriculoperitoneal Shunt
Infection
Child
Hydrocephalus
url http://www.scopemed.org/fulltextpdf.php?mno=164576
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AT ahmetsoysal ventriculoperitonealshuntinfectionandtreatmentinchildren
AT askinseker ventriculoperitonealshuntinfectionandtreatmentinchildren
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