Control of shunt infection. Report of 150 consecutive cases.
The author analyzes 150 consecutive ventriculovenous, ventriculoperitoneal, and lumboperitoneal shunt procedures with particular attention to shunt colonization by Staphylococcus epidermidis. There was one primary infection with Staphylococcus epidermidis early in the series, and in two other cases, the organism was felt to be a secondary invader. In those procedures involving either primary placement or revision of a ventriculovenous shunt, there was not a single infection. The operative protocol that has virtually eliminated Staphylococcus epidermidis is outlined.
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000175:diagnosis / Q000517:prevention & control*; D002557:Cerebrospinal Fluid Shunts / Q000379:methods*; D002648:Child; D006801:Humans; D007223:Infant; D011183:Postoperative Complications / Q000517:prevention & control*; D013203:Staphylococcal Infections / Q000517:prevention & control
D000900:Anti-Bacterial Agents