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Indian Journal of Neurosurgery 2015; 04(02): 074-079
DOI: 10.1055/s-0035-1558960
Original Article
Neurological Surgeons' Society of India

A Study to Formulate a Strategy to Prevent Ventriculoperitoneal Shunt Infection

T. P. Jeyaselvasenthilkumar
1   Department of Neurosurgery, Institute of Neurology, Madras Medical College, Chennai, Tamil Nadu, India
,
V. G. Ramesh
1   Department of Neurosurgery, Institute of Neurology, Madras Medical College, Chennai, Tamil Nadu, India
,
C. Sekar
1   Department of Neurosurgery, Institute of Neurology, Madras Medical College, Chennai, Tamil Nadu, India
,
S. Sundaram
1   Department of Neurosurgery, Institute of Neurology, Madras Medical College, Chennai, Tamil Nadu, India
› Institutsangaben
Weitere Informationen

Publikationsverlauf

09. April 2015

25. Mai 2015

Publikationsdatum:
28. Juli 2015 (online)

   Lizenzen und Reprints

Abstract

Aim This study aims to formulate a least expensive yet effective and simple surgical strategy for prevention of ventriculoperitoneal shunt infections.

Patients and Methods This study was done prospectively in 486 cases admitted during the period from 2006 to 2013. Patients were divided into two groups and a protocol was devised to reduce shunt infections. In group 1, the shunt was done following the protocol and the other group, protocol was not followed. The various factors contributing to shunt infection were analyzed in detail and its statistical significance worked out.

Results The group 1 where protocol is followed showed 0% incidence of shunt infection. In the group, where the protocol was not followed, it is observed that prolonged surgery, use of intermediate skin incision, and previous shunt surgery contribute to increased risk of shunt infection.

Keywords

shunt infection - hydrocephalus - cerebrospinal fluid

Presentation at a Meeting

No.


 

  • References

  • 1 Nulsen FE, Spitz EB. Treatment of hydrocephalus by direct shunt from ventricle to jugular vein. Surg Forum 1952; 2: 399-403
    PubMedGoogle Scholar
  • 2 Cushing H. The Cerebral Envelopes. Philadelphia, PA: WB Saunders; 1908
    Google Scholar
  • 3 Scarff JE. Treatment of hydrocephalus: an historical and critical review of methods and results. J Neurol Neurosurg Psychiatry 1963; 26: 1-26
    CrossrefPubMedGoogle Scholar
  • 4 Choux M, Genitori L, Lang D, Lena G. Shunt implantation: reducing the incidence of shunt infection. J Neurosurg 1992; 77 (6) 875-880
    CrossrefPubMedGoogle Scholar
  • 5 George R, Leibrock L, Epstein M. Long-term analysis of cerebrospinal fluid shunt infections. A 25-year experience. J Neurosurg 1979; 51 (6) 804-811
    CrossrefPubMedGoogle Scholar
  • 6 Meirovitch J, Kitai-Cohen Y, Keren G, Fiendler G, Rubinstein E. Cerebrospinal fluid shunt infections in children. Pediatr Infect Dis J 1987; 6 (10) 921-924
    CrossrefPubMedGoogle Scholar
  • 7 Haines SJ, Taylor F. Prophylactic methicillin for shunt operations: effects on incidence of shunt malfunction and infection. Childs Brain 1982; 9 (1) 10-22
    PubMedGoogle Scholar
  • 8 McCullough DC. Symptomatic progressive ventriculomegaly in hydrocephalics with patent shunts and antisiphon devices. Neurosurgery 1986; 19 (4) 617-621
    CrossrefPubMedGoogle Scholar
  • 9 Fitzgerald R, Connolly B. An operative technique to reduce valve colonisation. Z Kinderchir 1984; 39 (Suppl. 02) 107-108
    PubMedGoogle Scholar
  • 10 Mancao M, Miller C, Cochrane B, Hoff C, Sauter K, Weber E. Cerebrospinal fluid shunt infections in infants and children in Mobile, Alabama. Acta Paediatr 1998; 87 (6) 667-670
    CrossrefPubMedGoogle Scholar
  • 11 Sarguna P, Lakshmi V. Ventriculoperitoneal shunt infections. Indian J Med Microbiol 2006; 24 (1) 52-54
    CrossrefPubMedGoogle Scholar
  • 12 Khan I, Burhan M, Nadeem M. A reappraisal of contributing factors leading to shunt infection. J Ayub Med Coll Abbottabad 2009; 21 (1) 66-68
    PubMedGoogle Scholar