Shunt Infection

Shunt Infection

The improvement in the management of hydrocephalus comes from the following: early diagnosis, radiological investigation, better knowledge of mechanisms, quality of material, surgical technique of implantation, less shunt complications (e.g.infections) and alternatives to shunt (e.g. Neuroendoscopy...

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Autor principal: Maurice Choux
Formato: article
Lenguaje:EN
Publicado: Brazilian Society for Pediatric Neurosurgery 2021
Materias:
shunt
hydrocephalus
infection
Pediatrics
RJ1-570
Surgery
RD1-811
Acceso en línea:https://doaj.org/article/7dd706512130499390ebdc05ca3b51ef
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spelling oai:doaj.org-article:7dd706512130499390ebdc05ca3b51ef2021-11-23T21:46:36ZShunt Infection2675-362610.46900/apn.v3i2(May-August).90https://doaj.org/article/7dd706512130499390ebdc05ca3b51ef2021-03-01T00:00:00Zhttps://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/90https://doaj.org/toc/2675-3626The improvement in the management of hydrocephalus comes from the following: early diagnosis, radiological investigation, better knowledge of mechanisms, quality of material, surgical technique of implantation, less shunt complications (e.g.infections) and alternatives to shunt (e.g. Neuroendoscopy). However, shunt infection does not improve in the last decades, ranging from 3 to 12%. Shunt infection can be classified in: would infection, CSF infection, infected shunt system, abdominal complications (infection). The main agent is Staphylococcus, causing 67%-85% of problems, mainly due to colonization of shunt by skin flora. The majority of cases occur during the first 2 months (85%), late infection is rare. Risk factors to infection are the following: the cause of hydrocephalus, clinical condition and the age of children, operation time of the day, the duration of the shunt operation, the number of persons in OR, shunt material (Antibiotic catheter), presence of previously shunt system, postoperative CSF leak, perioperative antibiotics and economic level of Medical Center. Recommended management of shunt infection: removal of the shunt, insertion of an external drainage (EVD) (always in operation room), change EVD after 15 days, intravenous antibiotics, replacement of ventriculoperitoneal shunt after 3 sterile cultures. The most feared complications of Shunt infection are mortality, morbidity and cost. In conclusion: SHUNT INFECTION IS NOT A FATALITYMaurice ChouxBrazilian Society for Pediatric NeurosurgeryarticleshunthydrocephalusinfectionPediatricsRJ1-570SurgeryRD1-811ENArchives of Pediatric Neurosurgery, Vol 3, Iss 2(May-August), Pp e902021-e902021 (2021)
institution DOAJ
collection DOAJ
language EN
topic shunt
hydrocephalus
infection
Pediatrics
RJ1-570
Surgery
RD1-811
spellingShingle shunt
hydrocephalus
infection
Pediatrics
RJ1-570
Surgery
RD1-811
Maurice Choux
Shunt Infection
description The improvement in the management of hydrocephalus comes from the following: early diagnosis, radiological investigation, better knowledge of mechanisms, quality of material, surgical technique of implantation, less shunt complications (e.g.infections) and alternatives to shunt (e.g. Neuroendoscopy). However, shunt infection does not improve in the last decades, ranging from 3 to 12%. Shunt infection can be classified in: would infection, CSF infection, infected shunt system, abdominal complications (infection). The main agent is Staphylococcus, causing 67%-85% of problems, mainly due to colonization of shunt by skin flora. The majority of cases occur during the first 2 months (85%), late infection is rare. Risk factors to infection are the following: the cause of hydrocephalus, clinical condition and the age of children, operation time of the day, the duration of the shunt operation, the number of persons in OR, shunt material (Antibiotic catheter), presence of previously shunt system, postoperative CSF leak, perioperative antibiotics and economic level of Medical Center. Recommended management of shunt infection: removal of the shunt, insertion of an external drainage (EVD) (always in operation room), change EVD after 15 days, intravenous antibiotics, replacement of ventriculoperitoneal shunt after 3 sterile cultures. The most feared complications of Shunt infection are mortality, morbidity and cost. In conclusion: SHUNT INFECTION IS NOT A FATALITY
format article
author Maurice Choux
author_facet Maurice Choux
author_sort Maurice Choux
title Shunt Infection
title_short Shunt Infection
title_full Shunt Infection
title_fullStr Shunt Infection
title_full_unstemmed Shunt Infection
title_sort shunt infection
publisher Brazilian Society for Pediatric Neurosurgery
publishDate 2021
url https://doaj.org/article/7dd706512130499390ebdc05ca3b51ef
work_keys_str_mv AT mauricechoux shuntinfection
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