title: Ventriculoperitoneal shunt infection after augmentation cystoplasty.
abstract: OBJECTIVE
  We characterized the occurrence of ventriculoperitoneal shunt infections after augmentation cystoplasty.
  
  
  METHODS
  We reviewed the records of 20 myelodysplastic children with ventriculoperitoneal shunts followed for a minimum of 12 months after augmentation.
  
  
  RESULTS
  In 4 children (20%) a ventriculoperitoneal shunt infection developed. The single gram-positive infection occurred early (less than 30 days). The 3 gram-negative infections were delayed presentations (greater than 30 days). Organisms in 2 of the 3 gram-negative infections had been noted in a preoperative urine culture.
  
  
  CONCLUSIONS
  Ventriculoperitoneal shunt infection after bladder augmentation is common. Delayed presentation of shunt infections may indicate gram-negative infection. Sterilization of the urinary tract is indicated before augmentation.
authors.affiliation: Hospital for Sick Children, Toronto, Ontario, Canada.
authors.forename: G J
authors.initials: GJ
authors.lastname: Matthews
authors.forename: B A
authors.initials: BA
authors.lastname: Churchill
authors.forename: G A
authors.initials: GA
authors.lastname: McLorie
authors.forename: A E
authors.initials: AE
authors.lastname: Khoury
mesh_terms: D000293:Adolescent; D001424:Bacterial Infections / Q000453:epidemiology; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D001743:Urinary Bladder / Q000601:surgery*; D017287:Ventriculoperitoneal Shunt