儿童脑室腹腔分流术感染。一项为期6年的研究。

Ventriculoperitoneal shunt infections in children. A 6-year study.

作者信息

Cotton M F, Hartzenberg B, Donald P R, Burger P J

机构信息

Department of Paediatrics and Child Health, University of Stellenbosch, Parowvallei, CP.

出版信息

S Afr Med J. 1991 Feb 2;79(3):139-42.

PMID:1994483

Abstract

In a study of ventriculoperitoneal shunt infections conducted retrospectively between 1983 and 1987 and prospectively in 1988 39 infections from 372 shunt procedures (incidence 10.5%) were identified. The most common organism isolated was Staphylococcus aureus (18; 47%) followed by S. epidermidis (10; 26%). Forty-two per cent of staphylococci were methicillin-resistant. Gram-negative infections were associated with myelomeningoceles and Gram-positive infections with other forms of hydrocephalus (P = 0.048). Lymphocyte predominance was found more frequently than polymorphonuclear predominance in cerebrospinal fluid.

摘要

在一项对脑室腹腔分流术感染的研究中，1983年至1987年进行了回顾性研究，1988年进行了前瞻性研究，在372例分流手术中有39例感染（发生率10.5%）被确认。分离出的最常见病原体是金黄色葡萄球菌（18例；47%），其次是表皮葡萄球菌（10例；26%）。42%的葡萄球菌对甲氧西林耐药。革兰氏阴性菌感染与脊髓脊膜膨出有关，革兰氏阳性菌感染与其他形式的脑积水有关（P = 0.048）。脑脊液中淋巴细胞为主的情况比多形核细胞为主的情况更常见。