Breastfeeding: a potential protective factor against ventriculoperitoneal shunt infection in young infants

Farideh Nejat1, Parvin Tajik, Syed Mohammad Ghodsi

  • 1Department of Neurosurgery, Children's Hospital Medical Center, and Department of Epidemiology and Biostatistics, School of Public Health, University of Tehran, Iran. nejat@sina.tums.ac.ir

Insights

Breastfeeding may protect infants with ventriculoperitoneal (VP) shunts from infection. Exclusive breastfeeding showed a trend toward lower shunt infection rates in the first six months of life.

Area of Science:

  • Pediatric surgery
  • Infectious disease prevention
  • Neonatal nutrition

Background:

  • Human milk contains protective factors against various infant infections.
  • The impact of breastfeeding on ventriculoperitoneal (VP) shunt infections in infants remains understudied.

Purpose of the Study:

  • To investigate the association between breastfeeding and the risk of VP shunt infection in infants.
  • To determine if exclusive breastfeeding offers protection against shunt infections.

Main Methods:

  • A cohort study of 127 infants with hydrocephalus undergoing VP shunt placement within the first six months of life.
  • Infants were categorized by feeding method: exclusively breastfed (EBF), combination formula and breast milk (CFBF), or exclusively formula-fed (EFF).
  • Follow-up for shunt infection occurred within six months post-operation, with statistical survival analysis used.

Main Results:

  • The 6-month risk of shunt infection was 8.5% in EBF, 16.5% in CFBF, and 26.0% in EFF groups.
  • A significant trend (p=0.035) indicated that increased breastfeeding correlated with a lower risk of shunt infection.
  • This trend persisted after adjusting for confounding variables (HR=2.01).

Conclusions:

  • Breastfeeding, particularly exclusive breastfeeding, appears to have a protective effect against VP shunt infections in infants.
  • A dose-response relationship exists: higher intake of human milk is associated with lower shunt infection incidence.
  • Exclusive breastfeeding is recommended for infants with VP shunts during the first six months of life.
Abstract

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