Kanangi Santosh Mohan Rao, Balasubramaniam Chidambaram
Department of Pediatric Neurosurgery, Kanchi Kamakoti CHILDS Trust Hospital, 12 A Nageswara Road Nungambakkam, Chennai 34, 600034, India.
Childs Nerv Syst. 2018 Oct;34(10):1915-1924. doi: 10.1007/s00381-018-3890-y. Epub 2018 Jul 5.
CSF diversion shunts are notoriously prone to complications. The most difficult to manage among them is shunt infection, which warrants a prolonged hospital stay. The aim of this paper is to review the pattern of infections, the pathology, and management of shunt infections with special reference to a tertiary pediatric center in a developing country.
This is a review of shunt infections in general and a retrospective study of all cases operated in the hospital from 2000 to 2015.
The authors analyze the data and try to discern patterns, which may enable newer interventions to treat as well as decrease the burden of shunt infections in the future.
It is difficult to determine the true incidence of shunt infections as there is no definition of what constitutes a shunt infection. There are no standardized international guidelines as to how to deal with an infected shunt. Though the ability to treat shunt infection has improved and the incidence of shunt infection has decreased over time, there is still no consensus on the best way to manage it. The prevention is predominantly based on common sense and has helped but a more scientific algorithm is the need of the hour.
脑脊液分流术极易引发并发症。其中最难处理的是分流感染，这会导致住院时间延长。本文旨在回顾分流感染的模式、病理及处理方法，并特别提及一个发展中国家的三级儿科中心。
本文是对一般分流感染的综述以及对2000年至2015年在该医院接受手术的所有病例的回顾性研究。
作者分析数据并试图找出规律，这可能有助于未来采用新的干预措施来治疗并减轻分流感染的负担。
由于尚无关于何为分流感染的定义，因此难以确定分流感染的真实发生率。对于如何处理感染的分流，尚无标准化的国际指南。尽管随着时间推移，治疗分流感染的能力有所提高且分流感染的发生率有所下降，但对于最佳处理方式仍未达成共识。预防主要基于常识，虽有帮助，但目前亟需更科学的算法。
