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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Cukurova University
2015-03-01
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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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