Shunt infection in a single institute: a retrospective study

Qin, Bing; Gao, Chen; Chen, Jingyin

doi:10.1186/s41016-018-0115-x

Cited by 5 publications

(3 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…with range being similar for pediatric patents. 1,4,7,[9][10][11][12][13][14] This is in par with our study results.…”

Section: Discussionsupporting

confidence: 91%

“…17 Though with no touch technique our shunt infection rate stands at 8%, it is still lower compared to that reported in other series. 1,4,7,[9][10][11][12][13][14] The fact that the change of gloves before handing the shunt has been shown to be a simple and cost effective way to reduce postoperative shunt infections also stands in support of no touch techniqe. 18 Glove holes during shunt handling has been cited as a signifi cant risk factor for shunt infection.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

VP Shunt Complications: Ten Years Experience at UDMNINAS

Lohani¹,

Baniya²

2019

Nep J Neurosci

View full text Add to dashboard Cite

Ventriculo-Peritoneal shunt is significantly associated with complications like malfunction and infection. In this study, we aim to review our infection and malfunction rate. This is a retrospective review of charts of patients who underwent ventriculo-peritonealshunt at Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Bansbari, Nepal between 2008 and 2018. Patients were interviewed via telephone for information regarding shunt complications in the form of malfunction, infection, and the need for revision. A total of 357 patients underwent ventriculoperitonealshunt over a period of 10 years. of patients was 37.08 years. There were224 males and133 females with M:F::1.7:1.265 patients were available over telephone for interview. 54 of 265 (20.37%) patients needed shunt revision. 32 (12.07%) of them had shunt malfunction. 21 (7.92%) of them had shunt infection. One (0.37%) patient had problems with over drainage. Shunt complications were proportionate in pediatric population as well. Shunt complication at Upendra Devkota Memorial National Institute of Neurological and Allied Sciences is comparable to international data.

show abstract

“…with range being similar for pediatric patents. 1,4,7,[9][10][11][12][13][14] This is in par with our study results.…”

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

VP Shunt Complications: Ten Years Experience at UDMNINAS

Lohani¹,

Baniya²

2019

Nep J Neurosci

View full text Add to dashboard Cite

show abstract

“…The use of vancomycin may be helpful in the control of gram-positive cocci infection. Compare with our previous data (9), this study shows the proportion of gram-negative bacilli related SI is also high. Further investigation found that 71.4% (15/21) of these cases had lung infection history, whereas only 34.8% (8/23) in gram-positive cocci induced SI cases, and 41.8% (33/79) in all SI cases, but this analysis didn't show statistical difference.…”

Section: Discussioncontrasting

confidence: 67%

Shunt Infection in Adults: A Retrospective Study of 1324 Cases

Qin¹,

Gao²,

Wang³

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

Background: Shunt infection (SI) is a serious major complication in the management of hydrocephalus after cerebral fluid shunts. Here we study retrospectively hydrocephalus shunting to evaluate the incidence of SI, including the risk factors and types of infection.Meterial and Methods: 1556 patients (age≥18years) who had undergone shunt surgery from January 2013 to December 2019 at our center were included(6-78 months follow-up period). 1324 cases of them were confirmed as effective cases. Infection rate and risk factors were investigated.Results: We found 79 (6.0%) cases (58 men and 21 women) with SI, of which 72 were ventriculo-peritoneal (VP) shunt and 7 were lumbo-peritoneal (LP) shunt. Risk factors include male gender (p=0.04), patients with a history of intracranial infection (p<0.001) and patients suffered an infection when shunt surgery performed (p=0.008). Surgery type (p=0.80), Glasgow Coma Score (GCS) before shunt procedure (p=0.57) and history of hypertension (p=0.16), diabetes (p=0.44) or cerebral infarction (p=0.29) were not risk factors of SI. Brain or spine surgery performed within 2 years prior to shunt procedure increased rate of SI (p=0.015, SI rate: 7.4%), but not when performed after shunt procedure (p=0.42). Idiopathic hydrocephalus and hydrocephalus caused by trauma, hemorrhage, tumor and other factors showed no significant correlation with SI. Of all SI, 48 (60.8%) and 62 (78.5%) cases were present within 1 and 2 months after shunt surgery, respectively. Only 2.5% (2/79) of SI were found after 1 year since shunt placement. Pathogens were found in 46 cases, and Gram positive cocci were accounted for 50.0% (23/46). Conclusions: Our study suggests that male, history of intracranial infection, patients’ infection status when shunt surgery performed and history of brain or spine surgery performed within 2 years are risk factors of SI. Infections are more likely to present within the first 2 months after shunt placement, only 2.5% shunt infections were found after more than 1 year form shunt operation.

show abstract