Evaluation and Management of Shunt Infections in Children with Hydrocephalus
- 1 October 2006
- journal article
- review article
- Published by SAGE Publications in Clinical Pediatrics
- Vol. 45 (8), 705-713
- https://doi.org/10.1177/0009922806292781
Abstract
Shunt infections constitute one of the main risks of shunt surgery for hydrocephalus, which is the single most common type of surgery performed by pediatric neurosurgeons. Infectious complications are responsible for increased morbidity and mortality, lengthy hospitalizations, and high cost. Most modern series report infection rates approaching 10% of all shunt procedures. Despite the high incidence of this complication, optimal management is still unknown, and research on prevention has been hampered by single-institution series and small numbers. This article will review the history, causes, presentation, management, and outcome from shunt infections in children. Pitfalls in diagnosis and management will be reviewed. Finally, prevention strategies and research questions still remaining in this area will be outlined.Keywords
This publication has 66 references indexed in Scilit:
- CSF shunt infections in children: experiences from a population-based studyActa Neurochirurgica, 2003
- A Randomized, Controlled Study of a Programmable Shunt Valve versus a Conventional Valve for Patients with HydrocephalusNeurosurgery, 1999
- A no-touch technique protocol to diminish cerebrospinal fluid shunt infectionSurgical Neurology, 1995
- Candida cerebrospinal fluid shunt infection report of two new cases and review of the literatureDiagnostic Microbiology and Infectious Disease, 1994
- Role of serological tests in the diagnosis of immune complex disease in infection of ventriculoatrial shunts for hydrocephalusEuropean Journal of Clinical Microbiology & Infectious Diseases, 1994
- The role of ethylene oxide allergy in sterile shunt malfunctionsBritish Journal Of Neurosurgery, 1994
- CSF shunt infections in childrenInfection, 1993
- The risk of abdominal operations in children with ventriculoperitoneal shuntsJournal of Pediatric Surgery, 1992
- Antibiotic single-dose prophylaxis of shunt infectionsNeurosurgical Review, 1989
- Oxacillin prophylaxis in cerebrospinal fluid shunt procedures: Results of a randomized open study in 60 hydrocephalic patientsSurgical Neurology, 1986