The diagnosis and treatment of ventriculitis following ventricular-peritoneal shunt

VernacularTitle:脑室-腹腔分流术后脑室炎的诊断与治疗
Author: Xingwen WANG ; Cheng SHA ; Qingguo FUAN ; Daming WANG
Publication Type:Journal Article
Keywords: Ventriculitis; Hydrocephalus; Ventricular-peritoneal shunt; Bacteriology
From: Clinical Medicine of China 2009;25(5):519-521
CountryChina
Language:Chinese
Abstract: Objective To study the bacteriology, clinical characteristics and treatment of ventriculitis fol-lowing ventricular-peritoneal shunt. Methods The clinical data and bacteriological results of eight patients with ven-triculitis following ventricular-peritoneal shunt from April 1998 to April 2007 were analyzed retrospectively. Shunt de-vice was removed in all patients. Intraventricular and intravenous antibiotics were given until the infection was con-trolled,and a secondary shunt device was placed. Results In eight patients,five were infected by Staph. Epidermi-dis,one by a mixed infection of Staph. Aureus and Pseudomonas acruginosa,one by Staph. Aureus,and one by E. Co-li. All patients were given intraventricular and intravenous antibiotics therapy. 8 cases recovered well after treatment. Conclusion Ventriculitis following ventricular-peritoneal shunt is a dangerous complication and is not easy to cure. After the removal of shunt device, a satisfactory result could be achieved by the administration of intraventricular and intravenous antibiotics.