Department of Neurosurgery, Clínico San Carlos University Hospital, Prof. Martin Lagos s/n, 28040, Madrid, Spain.
Eur J Clin Microbiol Infect Dis. 2012 Jun;31(6):889-97. doi: 10.1007/s10096-011-1420-x. Epub 2011 Sep 30.
Hydrocephalus is a common neurosurgical disease affecting approximately 40 per 100,000 people. Cerebrospinal fluid diversion devices are essential in the management of this pathology. These devices include internal shunts and external ventricular drains. Infection is the most significant complication resulting from the high frequency of appearance and the consequences it involves, since it is associated with increased morbidity and mortality. It also involves increased hospital costs (approximately 40,000 euro per episode). In the present report the authors make a comprehensive review of cerebrospinal fluid diversion devices and their most important complication: infection. The authors make special emphasis on the epidemiology, aetiology, pathogenesis, risk factors, symptoms and signs, diagnosis, treatment and prevention of infection.
脑积水是一种常见的神经外科疾病，影响约每 10 万人中有 40 人。脑脊液分流装置是这种病理的管理中必不可少的。这些装置包括内置分流器和外部脑室引流管。感染是最常见的并发症，也是最严重的并发症，因为它与发病率和死亡率的增加有关。它还涉及到更高的住院费用（每个病例约 40000 欧元）。在本报告中，作者对脑脊液分流装置及其最重要的并发症：感染进行了全面回顾。作者特别强调了感染的流行病学、病因学、发病机制、危险因素、症状和体征、诊断、治疗和预防。
