Vp Shunt Catheter Tip Infection
Little is known regarding the optimal treatment of ventriculoperitoneal vp shunt infections in adults.
Vp shunt catheter tip infection. Data age gender pathology and history of shunt infection were collected from patients files. The majority of shunt infections occur within 3 months of the shunt surgery. A proportion of patients with shunt infection will have a blocked shunt.
Retrospective observational study of patients aged 12 years with vp shunt infections 1980 2014. Shunt broken or discontinuous or kinked or occluded shunt tip migration out of ventricle shunt tip intraparenchymal shunt infection over shunting slit like ventricles csfoma. The rate of infection was 11 1 per ventriculoperitoneal procedure and the most common organism was coagulase negative staphylococcus cons which was the cause of infection.
An episode of infection was defined as the presence of clinical features compatible with a positive culture from csf vp shunt tip or from exudate swabs obtained from wounds overlying the implant material. According to our hospital database 310 patients were eligible for this study. Shunt replacement except in cases of shunt infection which require temporary shunt diversion before shunt replacement.
Hence it is important to consider shunt infection in anyone who presents with shunt blockage relatively early following vp shunt insertion.