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7 - Ventriculoperitoneal shunt infections: Our experiences
Leyla Telhan, Umut Zubarioğlu, Lalız Esin Kadıoğlu, Metin Uysalol, Ayşe Palanduz
of patients with ventriculoperitoneal shunt infection.
Study Design: Medical records of 16 patients with ventriculoperitoneal shunt infection admitted between January 1 2005- April 1 2007, were evaluated retrospectively.
Results: The mean age of the patients was 6.2 months (0.5-26 months). 10 of them (% 62) were female and 6 (% 38) were girls. Hydrocephalus has developed congenitally in 13 cases and it was acquired in 3 cases. Mean age at onset of infection was 132.5 days (7-720 gün). At admission 15 cases (% 94) had fever and discomfort, 6 cases (% 38) had feeding problems, 4 cases had (% 25) convulsion, 3 cases had (% 19) increased head circumference and one case (%6) had cerebrospinal fluid leakage to skin. Methicillin resistant coagulase negative staphylococcus was isolated from the cerebrospinal fluid in 6 patients (% 38) and in the blood cultures of 2 patients. Mean time of hospitalisation was 77.4±72.9 days. Mortality rate was % 25.
Conclusion: Ventriculoperitoneal shunt infections are associated with high mortality and morbidity. Its treatment is time consuming and diffucult. Outcome may be pleasant with early diagnosis, prompt and appropriate therapy.
Keywords: Hydrocephalus, ventriculoperitoneal shunt infection.
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