Analysis of factors and treatment of intracranial infection after ventriculoperitoneal shunt
Objective To explode the factors and treatments of intracranial infection after ventriculoperitoneal shunt(VPS).Methods The clinical data of 22 patients with intracranial infection after VPS,who were treated in our hospital from 2019 to 2022,were analyzed retrospectively.Results According to the time of infection after VPS,the intracranial infection was divided into acute infection(3-7d),subacute infection(8-14d)and late infection(＞14d).There were 16 cases of acute infection,4 cases of subacute infection and 2 cases of late infection.Cerebrospinal fluid culture was performed in all cases,and 8 cases were negative,including 12 cases of staphylococcus,1 case of enterococcus and 1 case of klebsiella.All the 22 patients received standard treatment such as intravenous antibiotics,lumbar cistern drainage and intrathecal injection of antibiotics,among which 16 cases were cured(72.8％),5 cases were discharged(22.7％)and 1 case died(4.5％).Conclusion Early detection and early diagnosis of intracranial infection after VPS can avoid the risk of secondary surgery and reduce the economic burden of patients.
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