Does age or other factors influence the incidence of ventriculoperitoneal shunt infections?
Does age or other factors influence the incidence of ventriculoperitoneal shunt infections?
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DOI：
10.1159/000028806
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发表时间：
1999-05-01
影响因子：
0.7
通讯作者：
Masri-Lavine, L
中科院分区：
文献类型：
--
作者：
Davis, SE;Levy, ML;Masri-Lavine, L
一些研究表明，婴儿，特别是那些不到1个月的年龄有较高的发病率脑室腹腔分流感染。为了观察年龄以及可能与分流管感染率相关的其他变量，我们回顾了1985年1月1日至1994年12月31日在我们机构接受脑室腹腔分流管插入或翻修的所有患者的记录。共对1,193例患者进行了2,325例脑室腹膜分流术，男女比例为678：515。总感染率为3.2%（74例感染）。按年龄分析，感染率如下：0.05）。根据上述数字，选择性检查继发于脑室内出血的脑积水早产儿，发现2/44（4.5%）的新生儿感染，这也不显著。无论手术是否插入或修改分流管，或是否在相同麻醉下进行另一手术，感染率均相同。脑积水的病因不是一个因素，也不是开放性神经管缺陷的存在。与无积液的患者相比，分流道或其他神经手术部位沿着积液与感染发生率显著增加相关（15/168例，8.9%）（p < 0.001）。感染微生物的类型大致分为三种，表皮葡萄球菌/凝固酶阴性和金黄色葡萄球菌的代表性相对相等。剩下的三分之一是由各种各样的生物组成的。
Some studies indicate that infants, especially those less than 1 month of age have a higher incidence of ventriculoperitoneal shunt infections. To look at age as well as other variables that might relate to the rate of shunt infection, we reviewed the records of all patients undergoing a ventriculoperitoneal shunt insertion or revision at our institution from January 1, 1985, to December 31, 1994. There were a total of 2,325 ventriculoperitoneal shunting procedures performed on 1,193 patients with a male:female ratio of 678:515. The overall infection rate was 3.2% (74 infections). Analyzed by age, the infection rates were as follows: 0.05). Upon selectively examining premature neonates who developed hydrocephalus secondary to intraventricular hemorrhage from the figures given above, one finds that 2/44 (4.5%) of neonates became infected, which was also not significant. The infection rate was the same irrespective of whether the procedure was to insert or revise the shunt, or whether another operative procedure was done under the same anesthesia. The etiology of the hydrocephalus was not a factor, nor was the presence of an open neural tube defect. The presence of fluid accumulation along the shunt tract or at another neurological operative site was associated with a significant increase in incidence of infection 15/168 (8.9%) when compared to those with no fluid accumulation (p < 0.001). The type of infecting organism was divided roughly in thirds, with relatively equal representation from Staphyloccocus epidermidis/coagulase negative and Staphylococcus aureus. The remaining third was comprised of a wide variety of organisms.