PMID: 8608581Nov 1, 1995Paper

Cerebrospinal fluid shunt infections in infants

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
P DallacasaM Masi

Abstract

Infection remains a major cause of morbidity and mortality following CSF shunt procedures. In this study 191 shunt procedures carried out from January 1981 to December 1992 in a series of 81 infants (less than 6 months old) were retrospectively analyzed for possible risk factors. The overall surgical infection rate was 7.8%, with 15 infections occurring in 14 patients (17.2%). No significant difference in the rate of infections was found in relation to sex, birth weight, gestational age, and type of shunt procedure (primary insertion/revision). The occurrence of other infections during the period of shunt surgery did not influence the infection risk either. Intraventricular hemorrhage and central nervous system infections as causes of the hydrocephalus were found to correlate with septic risk. Young age (less than 6 months) seems to represent the main risk factor, and this is related both to the immunologic deficiency and to the particular features of residential bacterial flora in this age group.

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Citations

Jan 10, 2002·Infectious Disease Clinics of North America·R B Thomson, H Bertram
Feb 16, 2012·The Pediatric Infectious Disease Journal·Tamara D SimonNicole Mayer Hamblett
Aug 4, 2009·Journal of Neurosurgery. Pediatrics·Tamara D SimonUNKNOWN Hydrocephalus Clinical Research Network
Oct 5, 2010·Journal of Neurosurgery. Pediatrics·Esther GathuraA Leland Albright
Dec 3, 2011·Journal of Neurosurgery. Pediatrics·Paul KlimoFrederick A Boop
May 21, 2013·Journal of Neurosurgery. Pediatrics·Meysam A KebriaeiJoshua J Chern
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Oct 21, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·C Di RoccoG Tamburrini
Mar 31, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Giovanni RaffaAntonino Germanò
Nov 1, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Zohreh HabibiFarideh Nejat
Jun 24, 2009·Arquivos de neuro-psiquiatria·Moisés Heleno Vieira BragaBruno Silva Costa
Aug 9, 2011·Pediatric Neurosurgery·Ahmed Bakhsh
Apr 11, 2007·Arquivos de neuro-psiquiatria·Márcia Maria Macêdo LimaAngela Maria Silva
Mar 11, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·D HendersonS Ushewokunze
Aug 23, 2018·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Osama OmraniGreg James
Jun 8, 2021·Open Forum Infectious Diseases·David Luque-PazPierre-Jean Le Reste

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