The significance of bacteriologically positive ventriculoperitoneal shunt components in the absence of other signs of shunt infection

Journal of Neurosurgery
P SteinbokJ Kestle

Abstract

The purpose of this study was to determine the significance of "asymptomatic bacteriological shunt contamination" (ABSC), defined as a positive bacteriological culture found on a ventricular shunt component in the absence of bacteria in the cerebrospinal fluid (CSF) culture and/or clinical evidence of infection. Of 174 ventriculoperitoneal shunt revisions, 19 cases of ABSC were identified and reviewed retrospectively. In all but one case, no antibiotic medications were instituted because of the positive bacteriological culture. The most common infecting organisms were coagulase-negative staphylococci (seven) and propionibacteria (eight). A comparison of the 19 study cases with the authors' overall shunt experience, as documented in the British Columbia's Children's Hospital shunt database for the time period of the study, lead the authors to suggest that ABSC was not of significance in causing the shunt failure at which contamination was identified and, more importantly, did not increase the risk of future shunt malfunction. The results of this study indicate that in the absence of clinical evidence of shunt infection or a positive bacteriological culture from CSF, bacteria in a shunt component removed at revision in a child al...Continue Reading

References

May 1, 1975·The Journal of Infectious Diseases·S C SchoenbaumJ Shillito
Jan 1, 1989·Pediatric Neuroscience·S J Schiff, W J Oakes
May 1, 1988·Neurosurgery·S ShapiroJ Mealey
Sep 1, 1985·Pediatric Infectious Disease·J J YoungerF F Barrett
Nov 1, 1970·Journal of Neurosurgery·E C Fokes
Mar 1, 1993·Pediatric Research·B L ShneiderF J Suchy

❮ Previous
Next ❯

Citations

Mar 17, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Michael L DilunaCharles C Duncan
Jan 9, 2003·Surgical Neurology·Nicasio Arriada, Julio Sotelo
Jun 4, 2005·The Pediatric Infectious Disease Journal·Evan J Anderson, Ram Yogev
Jul 13, 2005·Pediatric Clinics of North America·Rajendu SrivastavaNancy A Murphy
Feb 17, 2017·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Allan R TunkelJoseph R Zunt
Jun 19, 2015·BMC Infectious Diseases·Marta Fernandez-SampedroMaría Carmen Fariñas
Jan 30, 2020·Expert Review of Anti-infective Therapy·Kirsten R I S DorresteijnDiederik van de Beek
May 13, 1998·Neurologic Clinics·A A Pruitt

❮ Previous
Next ❯

Software Mentioned

Statview
Excel

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.

Related Papers

The New England Journal of Medicine
E R Eggenberger
Journal of Neurosurgery
A KaulD S Gromisch
Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
K F Casey, J K Vries
© 2021 Meta ULC. All rights reserved