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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
|
| pubmed:dateCreated |
1985-5-7
|
| pubmed:abstractText |
In a retrospective study of 300 children who underwent placement or revision of cerebrospinal fluid (CSF)-peritoneal shunts during a 10-year period, 15 (5%) developed shunt-related abdominal complications with ventricular sepsis and two developed acute perforated appendicitis. Abdominal complications and associated shunt infections suggested two potential modes of development: (1) descent of contaminated CSF from an infected shunt into the abdomen (CSF ascites--four patients, CSF pseudocysts--four patients, and shunt-induced abscess/peritonitis--five patients); and (2) ascent of bacteria into the shunt from an abdominal source (visceral perforation by the shunt catheter--two patients and acute perforated appendicitis--two patients). Three types of shunt systems were placed during the study period; five of the seven (71%) most serious septic complications were associated with the use of Raimondi spring-reinforced catheters. Bacteria isolated in this series were associated with differing modes of sepsis: those involving descent of bacteria into the abdomen from an infected shunt were predominantly gram-positive, cutaneous microorganisms, whereas those associated with ascent of bacteria from the abdomen into the shunt were mixed, gram-negative intestinal microorganisms. Appendicitis did not result in shunt infections. Aggressive treatment resulted in no operative or complication-related deaths. Removal of the shunt catheter from the abdomen and intravenous antibiotics were essential for eradication of sepsis; laparatomy was required only for cases with suspected peritonitis. In eight of the 17 (47%) patients, reestablishment of CSF-peritoneal shunts was performed after resolution of shunt-related complications. In recent years improved shunting materials and supportive care have reduced the incidence of the most serious of these complications.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Apr
|
| pubmed:issn |
0039-6060
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
97
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
420-7
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:3983817-Abdomen,
pubmed-meshheading:3983817-Abscess,
pubmed-meshheading:3983817-Appendicitis,
pubmed-meshheading:3983817-Ascitic Fluid,
pubmed-meshheading:3983817-Bacterial Infections,
pubmed-meshheading:3983817-Brain Diseases,
pubmed-meshheading:3983817-Cerebral Ventricles,
pubmed-meshheading:3983817-Cerebrospinal Fluid Shunts,
pubmed-meshheading:3983817-Child,
pubmed-meshheading:3983817-Cysts,
pubmed-meshheading:3983817-Drainage,
pubmed-meshheading:3983817-Female,
pubmed-meshheading:3983817-Fever,
pubmed-meshheading:3983817-Humans,
pubmed-meshheading:3983817-Infant,
pubmed-meshheading:3983817-Laparotomy,
pubmed-meshheading:3983817-Leukocytosis,
pubmed-meshheading:3983817-Male,
pubmed-meshheading:3983817-Peritoneal Cavity,
pubmed-meshheading:3983817-Peritonitis
|
| pubmed:year |
1985
|
| pubmed:articleTitle |
Ventricular sepsis and abdominally related complications in children with cerebrospinal fluid shunts.
|
| pubmed:publicationType |
Journal Article
|