Relationship Between Ventriculoperitoneal Shunt Obstruction and Infection in Pediatric Patients with Hydrocephalus
Objective: The most common ventriculoperitoneal shunt (VPS) complications in pediatric patients include shunt infections and obstructions. This study evaluated the relationship between shunt infection and obstruction in pediatric patients undergoing VPS placement for hydrocephalus at our clinic. Mat...
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description | Objective: The most common ventriculoperitoneal shunt (VPS) complications in pediatric patients include shunt infections and obstructions. This study evaluated the relationship between shunt infection and obstruction in pediatric patients undergoing VPS placement for hydrocephalus at our clinic. Materials and Methods: Altogether, 210 patients ≤16 years old who were diagnosed with hydrocephalus and who received VPS placement by the same surgeon between January 2012 and June 2017 were followed up for at least one year and were evaluated retrospectively. Patients' clinical and laboratory findings were evaluated, and computed tomography and magnetic resonance imaging were performed. Pearson's chi-squared and Fisher–Freeman–Halton tests were used for statistical data analysis. Results: Among the 210 patients, shunt complications developed in 86; of these 86 patients, shunt infections, shunt obstructions, and other complications developed in 41, 53 (non-infection-related: 31 and infection-related: 22), and 14 patients, respectively. The infection rate in patients in whom VPS placement was performed from the frontal region was lower than those patients in whom it was performed from the occipitoparietal region. The obstruction rate was significantly higher in patients with shunt infection than in those without. Obstruction occurred in one-third of the patients with Staphylococcus epidermidis infection among patients with shunt infection. Conclusion: The obstruction rate in patients with shunt infection was three times higher than those without. Considering that shunt infection may accompany obstruction, making the decisions regarding the treatment method for patients with shunt obstruction is appropriate, after determining whether a shunt infection exists. |
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This study evaluated the relationship between shunt infection and obstruction in pediatric patients undergoing VPS placement for hydrocephalus at our clinic. Materials and Methods: Altogether, 210 patients ≤16 years old who were diagnosed with hydrocephalus and who received VPS placement by the same surgeon between January 2012 and June 2017 were followed up for at least one year and were evaluated retrospectively. Patients' clinical and laboratory findings were evaluated, and computed tomography and magnetic resonance imaging were performed. Pearson's chi-squared and Fisher–Freeman–Halton tests were used for statistical data analysis. Results: Among the 210 patients, shunt complications developed in 86; of these 86 patients, shunt infections, shunt obstructions, and other complications developed in 41, 53 (non-infection-related: 31 and infection-related: 22), and 14 patients, respectively. The infection rate in patients in whom VPS placement was performed from the frontal region was lower than those patients in whom it was performed from the occipitoparietal region. The obstruction rate was significantly higher in patients with shunt infection than in those without. Obstruction occurred in one-third of the patients with Staphylococcus epidermidis infection among patients with shunt infection. Conclusion: The obstruction rate in patients with shunt infection was three times higher than those without. Considering that shunt infection may accompany obstruction, making the decisions regarding the treatment method for patients with shunt obstruction is appropriate, after determining whether a shunt infection exists.</description><identifier>ISSN: 2149-2247</identifier><identifier>EISSN: 2980-2156</identifier><identifier>EISSN: 2149-2247</identifier><identifier>DOI: 10.14744/etd.2020.25493</identifier><language>eng</language><publisher>Istanbul: Kare Publishing</publisher><subject>hydrocephalus ; infection ; ventriculoperitoneal shunt</subject><ispartof>Erciyes Medical Journal, 2021-03, Vol.43 (1), p.61-66</ispartof><rights>2021. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2894425139?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,864,21388,21389,27924,27925,33530,33744,43659,43805,64385,64389,72469</link.rule.ids></links><search><creatorcontrib>Şahin, Ali</creatorcontrib><title>Relationship Between Ventriculoperitoneal Shunt Obstruction and Infection in Pediatric Patients with Hydrocephalus</title><title>Erciyes Medical Journal</title><description>Objective: The most common ventriculoperitoneal shunt (VPS) complications in pediatric patients include shunt infections and obstructions. This study evaluated the relationship between shunt infection and obstruction in pediatric patients undergoing VPS placement for hydrocephalus at our clinic. Materials and Methods: Altogether, 210 patients ≤16 years old who were diagnosed with hydrocephalus and who received VPS placement by the same surgeon between January 2012 and June 2017 were followed up for at least one year and were evaluated retrospectively. Patients' clinical and laboratory findings were evaluated, and computed tomography and magnetic resonance imaging were performed. Pearson's chi-squared and Fisher–Freeman–Halton tests were used for statistical data analysis. Results: Among the 210 patients, shunt complications developed in 86; of these 86 patients, shunt infections, shunt obstructions, and other complications developed in 41, 53 (non-infection-related: 31 and infection-related: 22), and 14 patients, respectively. The infection rate in patients in whom VPS placement was performed from the frontal region was lower than those patients in whom it was performed from the occipitoparietal region. The obstruction rate was significantly higher in patients with shunt infection than in those without. Obstruction occurred in one-third of the patients with Staphylococcus epidermidis infection among patients with shunt infection. Conclusion: The obstruction rate in patients with shunt infection was three times higher than those without. Considering that shunt infection may accompany obstruction, making the decisions regarding the treatment method for patients with shunt obstruction is appropriate, after determining whether a shunt infection exists.</description><subject>hydrocephalus</subject><subject>infection</subject><subject>ventriculoperitoneal shunt</subject><issn>2149-2247</issn><issn>2980-2156</issn><issn>2149-2247</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>DOA</sourceid><recordid>eNo9kUlrHDEQhRvjgI3jc66CnHusraXWMTaJZ8Bgk-0qtJQyMh2pLakx_vfumQk51cJ7XxW8rvtE8IZwyfkNNL-hmOINHbhiZ90lVSPuKRnE-doTrnpKubzormuNFg9YMkIFu-zKd5hMiznVfZzRLbRXgIR-Q2olumXKM5TYcgIzoR_7JTX0aGsriztYkEke7VKA0xQTegIfzcGJnlboCqnoNbY92r75kh3MezMt9WP3IZipwvW_etX9-vb15922f3i83919eegdo7L1TjmCB8DBSuKJtzIQ6_GohLHSAmDmsOBeEBIwgB_AjVQRIwbjpAwBC3bV7U5cn82znkv8a8qbzibq4yKXP9qUFt0EOkihbBCUDt5xSrwxoxidMtga5qRXK-vziTWX_LJAbfo5LyWt72s6Ks7pQNhBdXNSuZJrLRD-XyVYH3PSa076kJM-5sTeARm2iUM</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Şahin, Ali</creator><general>Kare Publishing</general><general>KARE Publishing</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>DOA</scope></search><sort><creationdate>20210301</creationdate><title>Relationship Between Ventriculoperitoneal Shunt Obstruction and Infection in Pediatric Patients with Hydrocephalus</title><author>Şahin, Ali</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c327t-c9c105e0fb71d1db7f1bd0896ab7bee03c064d611f0eed5ec8291a65ac77ff063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>hydrocephalus</topic><topic>infection</topic><topic>ventriculoperitoneal shunt</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Şahin, Ali</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Erciyes Medical Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Şahin, Ali</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship Between Ventriculoperitoneal Shunt Obstruction and Infection in Pediatric Patients with Hydrocephalus</atitle><jtitle>Erciyes Medical Journal</jtitle><date>2021-03-01</date><risdate>2021</risdate><volume>43</volume><issue>1</issue><spage>61</spage><epage>66</epage><pages>61-66</pages><issn>2149-2247</issn><eissn>2980-2156</eissn><eissn>2149-2247</eissn><abstract>Objective: The most common ventriculoperitoneal shunt (VPS) complications in pediatric patients include shunt infections and obstructions. This study evaluated the relationship between shunt infection and obstruction in pediatric patients undergoing VPS placement for hydrocephalus at our clinic. Materials and Methods: Altogether, 210 patients ≤16 years old who were diagnosed with hydrocephalus and who received VPS placement by the same surgeon between January 2012 and June 2017 were followed up for at least one year and were evaluated retrospectively. Patients' clinical and laboratory findings were evaluated, and computed tomography and magnetic resonance imaging were performed. Pearson's chi-squared and Fisher–Freeman–Halton tests were used for statistical data analysis. Results: Among the 210 patients, shunt complications developed in 86; of these 86 patients, shunt infections, shunt obstructions, and other complications developed in 41, 53 (non-infection-related: 31 and infection-related: 22), and 14 patients, respectively. The infection rate in patients in whom VPS placement was performed from the frontal region was lower than those patients in whom it was performed from the occipitoparietal region. The obstruction rate was significantly higher in patients with shunt infection than in those without. Obstruction occurred in one-third of the patients with Staphylococcus epidermidis infection among patients with shunt infection. Conclusion: The obstruction rate in patients with shunt infection was three times higher than those without. Considering that shunt infection may accompany obstruction, making the decisions regarding the treatment method for patients with shunt obstruction is appropriate, after determining whether a shunt infection exists.</abstract><cop>Istanbul</cop><pub>Kare Publishing</pub><doi>10.14744/etd.2020.25493</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | hydrocephalus infection ventriculoperitoneal shunt |
title | Relationship Between Ventriculoperitoneal Shunt Obstruction and Infection in Pediatric Patients with Hydrocephalus |
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