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脑积水患者的瓣膜感染:预防方面

Valvular infections in patients with hydrocephalus: preventive aspects.

作者信息

Viano J C, Tregnaghi M, Casagnas M, Suárez J C

机构信息

Department of Neurosurgery, Municipal Infantile Hospital, Cordoba, Argentina.

出版信息

Childs Nerv Syst. 1990 Nov;6(7):397-9. doi: 10.1007/BF00302226.

DOI:10.1007/BF00302226
PMID:1669249
Abstract

Shunt infections in children have become a serious problem. In order to solve this, we have been using antibiotic therapy with Rifampicin (Rifampin) for the last 2 years; the dosage is 20 mg/kg per day 1 h before surgery and then for 48 h after the surgical procedure. We have had experience with 203 children operated on between January 1987 and December 1988. The result was a significant decrease in the number of children with shunt infections. In 1980 we reported an incidence of 10%, while by 1988 the rate had gone down to 1%.

摘要

儿童分流感染已成为一个严重问题。为了解决这一问题,在过去两年里我们一直在使用利福平进行抗生素治疗;剂量为每天20毫克/千克,在手术前1小时服用,然后在手术后服用48小时。我们对1987年1月至1988年12月期间接受手术的203名儿童有相关经验。结果是分流感染儿童的数量显著减少。1980年我们报告的发病率为10%,而到1988年这一比率已降至1%。

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Valvular infections in patients with hydrocephalus: preventive aspects.脑积水患者的瓣膜感染:预防方面
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本文引用的文献

1
Indolent Staphylococcus albus or aureus bacteremia after ventriculoatriostomy. Role of foreign body in its initiation and perpetuation.脑室心房造口术后惰性白色葡萄球菌或金黄色葡萄球菌菌血症。异物在其发生和持续存在中的作用。
N Engl J Med. 1961 Feb 9;264:264-70. doi: 10.1056/NEJM196102092640602.
2
Rationale for prophylactic antibiotics and neurosurgery.
Neurosurgery. 1981 Aug;9(2):142-4. doi: 10.1227/00006123-198108000-00005.
3
Prophylactic methicillin for shunt operations: effects on incidence of shunt malfunction and infection.用于分流手术的预防性甲氧西林:对分流功能障碍和感染发生率的影响。
Childs Brain. 1982;9(1):10-22. doi: 10.1159/000120031.
4
Effect of prophylactic methicillin on cerebrospinal fluid shunt infections in children.预防性使用甲氧西林对儿童脑脊液分流感染的影响。
Neurosurgery. 1981 Jul;9(1):6-8. doi: 10.1227/00006123-198107000-00002.
5
Antibiotic prophylaxis in ventricular shunt surgery. I. Reduction of operative infection rates with methicillin.
Childs Brain. 1980;7(4):182-9.
6
Gram-negative bacillary meningitis in neurosurgical patients.
J Neurosurg. 1983 Oct;59(4):634-41. doi: 10.3171/jns.1983.59.4.0634.
7
Ventriculostomy-related infections. A prospective epidemiologic study.脑室造口术相关感染。一项前瞻性流行病学研究。
N Engl J Med. 1984 Mar 1;310(9):553-9. doi: 10.1056/NEJM198403013100903.
8
Staphylococcal CNS infections treated with vancomycin and rifampin.用万古霉素和利福平治疗的葡萄球菌中枢神经系统感染。
Arch Neurol. 1984 Jun;41(6):637-9. doi: 10.1001/archneur.1984.04210080045011.
9
The classification of staphylococci from colonized ventriculo-atrial shunts.来自定植心室-心房分流管的葡萄球菌分类
J Clin Pathol. 1969 Jul;22(4):475-82. doi: 10.1136/jcp.22.4.475.
10
Ventriculoauriculostomy-associated infection. A 12-year study.
J Neurosurg. 1971 Dec;35(6):686-94. doi: 10.3171/jns.1971.35.6.0686.