Risk factors for recurrent shunt infections in children

Abstract Risk factors for recurrent shunt-related cerebrospinal fluid (CSF) infections were analyzed. A total of 58 children were treated for initial shunt infections (ISI): all children were treated with antibiotics and CSF drainage, either by removal of the shunt system and insertion of an externa...

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Bibliographic Details
Published in:Journal of clinical neuroscience 2012-06, Vol.19 (6), p.844-848
Main Authors: Yilmaz, Adem, Musluman, Ahmet Murat, Dalgic, Nazan, Cansever, Tufan, Dalkilic, Turker, Kundakci, Evren, Aydin, Yunus
Format: Article
Language:English
Subjects:
Antibiotics
Catheters
Cerebral Ventricles - surgery
Cerebrospinal fluid
Cerebrospinal Fluid Shunts - adverse effects
Child, Preschool
Children
Female
Humans
Hydrocephalus - etiology
Hydrocephalus - mortality
Infant
Male
Nervous system
Neurology
Recurrent infection
Repeat shunt infection
Retrospective Studies
Risk factor
Risk Factors
Shunts
Statistical analysis
Survival Analysis
Ventriculo-peritoneal shunt
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Summary:Abstract Risk factors for recurrent shunt-related cerebrospinal fluid (CSF) infections were analyzed. A total of 58 children were treated for initial shunt infections (ISI): all children were treated with antibiotics and CSF drainage, either by removal of the shunt system and insertion of an external ventricular drainage (EVD) catheter (44 children, 75.9%) or by externalization of the existing ventricular catheter (14 children, 24.1%). Recurrent shunt infections (RSI) were detected in 15 children: nine had been treated with shunt removal and insertion of a new EVD catheter and six had been treated with externalization of the existing ventricular catheter. There was a statistically significant increase in the number of RSI in children treated with externalization of the existing ventricular catheter. Thus, to reduce the risk of RSI, total shunt removal and insertion of a new EVD catheter is preferred.
ISSN:0967-5868
1532-2653
DOI:10.1016/j.jocn.2011.07.054