PEDİATRİK ŞANT ENFEKSİYONLARI: 105 OLGULUK ÇİFT MERKEZLİ ÇALIŞMA

Öz

ÖZET
Ventriküloperitoneal şant enfeksiyonu hidrosefali hastalarında önemli bir morbidite ve mortalite nedenidir. Hızlı tanı konulup uygun şekilde tedavi edilmediği takdirde %40’lara kadar varan mor- talite oranları görülebilir. Bu yazıda iki farklı merkezde şant enfeksiyonu nedeniyle tedavi edilen
105 olgu retrospektif olarak incelendi. Bu olgulara ait demografik veriler, klinik öyküleri, muayene bulguları, laboratuvar bulguları, enfeksiyon nedeni olan mikrobik ajan ve tedavi şekilleri not edildi. Hastalarımızda şant enfeksiyonu ortalama 183 gün içinde (min-max: 4-1080 gün) gelişmiştir. En sık izole edilen ajan stafilokkus epidermidis (%40,5) olarak saptandı. Hastaların ortalama tedavi süresi
31 gün (min 21-max 90 gün) olarak tespit edildi.

Anahtar kelimeler: Hidrosefali; Ventiriküloperitoenal şant; Stafilokokkus epidermidis

ABSTRACT

Ventriculoperitoneal shunt infection is an important cause of morbidity and mortality in patients with hydrocephalus. If not diagnosed promptly and treated appropriately, mortality rates may be as high as 40%. Herein, 105 patients with ventriculoperitoneal shunt infections operated in two different health centers were reviewed retrospectively. Demographic data, medical history, physical examination findings, laboratory findings, causative agents, and tertament modalities were noted. It was detected that shunt infection had been developed in 183 (min-max: 4-1080 days). Staphylococcus epidermidis was the most common pathogenic agent (40.5%). Mean duration of treatment was 31 (min 21-max 90) days.

Key words: Hydrocephalus; Ventriculoperitoneal shunt; Staphylococcus epidermidis

Anahtar Kelimeler

• Hidrosefali,Ventiriküloperitoenal şant; Stafilokokkus epidermidis

Öz

Ventriculoperitoneal shunt infection is an important cause of morbidity and mortality in patients with hydrocephalus. If not diagnosed promptly and treated appropriately, mortality rates may be as high as 40%. Herein, 105 patients with ventriculoperitoneal shunt infections operated in two different health centers were reviewed retrospectively. Demographic data, medical history, physical examination findings, laboratory findings, causative agents, and tertament modalities were noted. It was detected that shunt infection had been developed in 183 (min-max: 4-1080 days). Staphylococcus epidermidis was the most common pathogenic agent (40.5%). Mean duration of treatment was 31 (min 21-max 90) days

Anahtar Kelimeler

• Hydrocephalus,Ventriculoperitoneal shunt; Staphylococcus epidermidis

Kaynakça

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