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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
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Shunt infections: a review and analysis of a personal series

Santosh Mohan Rao Kanangi1, Chidambaram Balasubramaniam2

  • 1Department of Pediatric Neurosurgery, Kanchi Kamakoti CHILDS Trust Hospital, 12 A Nageswara Road Nungambakkam, Chennai 34, 600034, India.

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|July 7, 2018
PubMed

Insights

Shunt infections are a major complication of CSF diversion shunts, often requiring prolonged hospitalization. This review analyzes infection patterns and management strategies, highlighting the need for standardized treatment algorithms.

Area of Science:

  • Neurosurgery
  • Pediatric Surgery
  • Infectious Diseases

Background:

  • Cerebrospinal fluid (CSF) diversion shunts are essential for managing hydrocephalus but are prone to complications.
  • Shunt infection is a significant challenge, leading to prolonged hospital stays and complex management.

Purpose of the Study:

  • To review the patterns, pathology, and management of shunt infections.
  • To provide insights from a tertiary pediatric center in a developing country.

Main Methods:

  • General review of shunt infections.
  • Retrospective study of cases operated between 2000 and 2015.

Main Results:

  • Analysis of data to identify patterns in shunt infections.
  • Exploration of potential interventions to improve treatment and reduce infection burden.

Conclusions:

  • Lack of a clear definition and standardized international guidelines complicates shunt infection management.
  • While treatment has improved, consensus on optimal management and prevention strategies is still lacking.
  • A more scientific approach and algorithm are needed for effective shunt infection control.
Abstract

Keywords:
Antibiotic therapyCNS infectionsCSF infectionsCerebrospinal fluidHydrocephalusShunt infectionVentriculoperitoneal shunt

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