Evidence map›Paper›PMID 39311928›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2024

Incidence of infection rate for shunt implantation: the zero % rate is always a myth.

Mamadou Diallo, Pierre-Aurélien Beuriat, Alexandru Szathmari, Federico Di Rocco, Pascal Fascia, Carmine Mottolese

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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Mamadou DialloDepartment of Pediatric Neurosurgery, Hôpital Femme Mère Enfant, 32 Avenue du Doyen Jean Lépine, 69677, Lyon Cedex, France.
Pierre-Aurélien BeuriatDepartment of Pediatric Neurosurgery, Hôpital Femme Mère Enfant, 32 Avenue du Doyen Jean Lépine, 69677, Lyon Cedex, France.
Alexandru SzathmariDepartment of Pediatric Neurosurgery, Hôpital Femme Mère Enfant, 32 Avenue du Doyen Jean Lépine, 69677, Lyon Cedex, France.
Federico Di RoccoDepartment of Pediatric Neurosurgery, Hôpital Femme Mère Enfant, 32 Avenue du Doyen Jean Lépine, 69677, Lyon Cedex, France.
Pascal FasciaDepartment of Hygene, Epidemiology, Infectiovigilance and Prevention, Hospices Civils de Lyon, France.
Carmine MottoleseDepartment of Pediatric Neurosurgery, Hôpital Femme Mère Enfant, 32 Avenue du Doyen Jean Lépine, 69677, Lyon Cedex, France. carmine.mottolese@chu-lyon.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPaediatric CSF shunt infection rate remains a well-known complication that is not only responsible of potentially severe sequels for patients but also for economical expenses. In that study, we questioned if it is possible to attain the zero percent rate of infection that should be the goal of every paediatric neurosurgeon.

methodsWe report our series of patients treated with a CSF device from January the first 2016 to December 31 2018.

resultsIn all 147 patients treated for hydrocephalus, the follow-up was of at least of 2 years from the implantation. Antibiotic-coated tubes were always used with a differential pressure valve system. A total of 172 surgical procedures were performed for 147 patients. In the follow-up time period, 4 patients presented a post-operative infection (2.3%). Two infections appeared early after the surgical procedure one after 24 h and the other after 6 days; the other two infections were diagnosed after 53 days and the other after 66 days. The germs responsible of the infections were a Staphylococcus capitals, an Escherichia coli, a Klebsiella pneumonia, and a Staphylococcus aureus.

conclusionsShunts will always be implanted especially in new-borns and for particular aetiologies of hydrocephalus. To reduce the rate of infection, the best thing to do is to adopt adapted protocols. Our low incidence of infection rate for shunts represent a long history to research preventive factors that helped us to improve our results during the time.

Indexed as

Cerebrospinal Fluid ShuntsHydrocephalusAdolescentChildChild, PreschoolFemaleHumansIncidenceInfantInfant, NewbornMaleRetrospective StudiesSurgical Wound InfectionInfectionNeurosurgeryPediatricVentriculo peritoneal shun

Identifiers

PMID39311928
PMCPMC11538133

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