Antibiotic-impregnated ventriculo-peritoneal shunts in patients at high risk of infection

Alessio Albanese; Pasquale De Bonis; Giovanni Sabatino; Gennaro Capone; Enrico Marchese; Andrea Vignati; Giulio Maira

doi:10.1007/s00701-009-0317-2

Antibiotic-impregnated ventriculo-peritoneal shunts in patients at high risk of infection

Alessio Albanese, Pasquale De Bonis, Giovanni Sabatino, Gennaro Capone, Enrico Marchese, Andrea Vignati, Giulio Maira

Istituto Clinico Humanitas

Research output: Contribution to journal › Article › peer-review

Abstract

Purpose: To determine the efficacy of antibiotic impregnated shunts (AIS) in reducing shunt infections in a population at high risk of shunt infection. Methods: From October 2005 to October 2007, patients at high risk of infection (severely disabled, not able to take care of themselves, frequent nosocomial infections) were selected from the 198 adults who underwent shunt placement. Results: Eighteen adults were identified (mean age 61.8 years). Six patients had AISs, and 12 patients had non-AISs. Groups did not differ in age, sex, type of hydrocephalus or hospital stay before shunting. Shunt infection occurred in 7/12 cases of the non-AIS group (58.3%) versus no infections in the AIS group. In six of seven cases, infection occurred within the first 6 months after surgery. A prevalence of S. epidermidis was detected. Conclusions: We believe that in these patients AIS could be effective. Larger, prospective studies are needed in order to definitely address this issue.

Original language	English
Pages (from-to)	1259-1263
Number of pages	5
Journal	Acta Neurochirurgica
Volume	151
Issue number	10
DOIs	https://doi.org/10.1007/s00701-009-0317-2
Publication status	Published - Oct 2009

Keywords

Antibiotic impregnated shunt
High risk of infection
Shunt infection
Shunt infection rate

ASJC Scopus subject areas

Clinical Neurology
Surgery

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title = "Antibiotic-impregnated ventriculo-peritoneal shunts in patients at high risk of infection",

abstract = "Purpose: To determine the efficacy of antibiotic impregnated shunts (AIS) in reducing shunt infections in a population at high risk of shunt infection. Methods: From October 2005 to October 2007, patients at high risk of infection (severely disabled, not able to take care of themselves, frequent nosocomial infections) were selected from the 198 adults who underwent shunt placement. Results: Eighteen adults were identified (mean age 61.8 years). Six patients had AISs, and 12 patients had non-AISs. Groups did not differ in age, sex, type of hydrocephalus or hospital stay before shunting. Shunt infection occurred in 7/12 cases of the non-AIS group (58.3%) versus no infections in the AIS group. In six of seven cases, infection occurred within the first 6 months after surgery. A prevalence of S. epidermidis was detected. Conclusions: We believe that in these patients AIS could be effective. Larger, prospective studies are needed in order to definitely address this issue.",

keywords = "Antibiotic impregnated shunt, High risk of infection, Shunt infection, Shunt infection rate",

author = "Alessio Albanese and {De Bonis}, Pasquale and Giovanni Sabatino and Gennaro Capone and Enrico Marchese and Andrea Vignati and Giulio Maira",

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AU - Albanese, Alessio

AU - De Bonis, Pasquale

AU - Sabatino, Giovanni

AU - Capone, Gennaro

AU - Marchese, Enrico

AU - Vignati, Andrea

AU - Maira, Giulio

PY - 2009/10

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N2 - Purpose: To determine the efficacy of antibiotic impregnated shunts (AIS) in reducing shunt infections in a population at high risk of shunt infection. Methods: From October 2005 to October 2007, patients at high risk of infection (severely disabled, not able to take care of themselves, frequent nosocomial infections) were selected from the 198 adults who underwent shunt placement. Results: Eighteen adults were identified (mean age 61.8 years). Six patients had AISs, and 12 patients had non-AISs. Groups did not differ in age, sex, type of hydrocephalus or hospital stay before shunting. Shunt infection occurred in 7/12 cases of the non-AIS group (58.3%) versus no infections in the AIS group. In six of seven cases, infection occurred within the first 6 months after surgery. A prevalence of S. epidermidis was detected. Conclusions: We believe that in these patients AIS could be effective. Larger, prospective studies are needed in order to definitely address this issue.

AB - Purpose: To determine the efficacy of antibiotic impregnated shunts (AIS) in reducing shunt infections in a population at high risk of shunt infection. Methods: From October 2005 to October 2007, patients at high risk of infection (severely disabled, not able to take care of themselves, frequent nosocomial infections) were selected from the 198 adults who underwent shunt placement. Results: Eighteen adults were identified (mean age 61.8 years). Six patients had AISs, and 12 patients had non-AISs. Groups did not differ in age, sex, type of hydrocephalus or hospital stay before shunting. Shunt infection occurred in 7/12 cases of the non-AIS group (58.3%) versus no infections in the AIS group. In six of seven cases, infection occurred within the first 6 months after surgery. A prevalence of S. epidermidis was detected. Conclusions: We believe that in these patients AIS could be effective. Larger, prospective studies are needed in order to definitely address this issue.

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KW - Shunt infection rate

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