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Cerebrospinal fluid shunt infection in children: efficiency of management protocol, rate of persistent shunt colonization, and significance of `off-antibiotics' trial

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Abstract

To evaluate the efficiency of our management protocol, 33 pediatric cases of bacteria-infected cerebrospinal fluid shunt were reviewed. The causative organism was staphylococcus in 23 patients. In 23 patients, shunt infection was managed according to the protocol. The complexity of the shunt system did not prolong hospitalization. Unchanged but externalized tubings showed persistent colonization despite adequate antibiotics in 10 of 21 patients. Staphylococcal infection was oxacillin-resistant in 7 of 19. The efficiency of an `off-antibiotics' trial was minimal. Further modification of the protocol is expected to enhance efficiency of the management.

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Authors and Affiliations

  1. Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, 28 Yongon-dong, Chongno-gu, Seoul 110–744, Korea e-mail: kyuhang@plaza.snu.ac.kr Tel.: +82-2-760 3489 Fax: +82-2-747 5130, , , , , , KR

    K.-C. Wang, Jung-Nam Sung & Byung-Kyu Cho

  2. Department of Pediatrics, Seoul National University Children's Hospital, 28 Yongon-dong, Chongno-gu, Seoul 110-744, Korea, , , , , , KR

    Hoan Jong Lee

Authors
  1. K.-C. Wang
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  2. Hoan Jong Lee
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  3. Jung-Nam Sung
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  4. Byung-Kyu Cho
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Received: 10 July 1998 Revised: 18 August 1998

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Wang, KC., Lee, H., Sung, JN. et al. Cerebrospinal fluid shunt infection in children: efficiency of management protocol, rate of persistent shunt colonization, and significance of `off-antibiotics' trial. Child's Nerv Syst 15, 38–43 (1999). https://doi.org/10.1007/s003810050324

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  • DOI: https://doi.org/10.1007/s003810050324

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