Ventriculoperitoneal shunt infection - Revision history

ClaireLewis: /* Bacteriology */

2019-10-03T16:53:57Z

Bacteriology

← Revisión anterior		Revisión del 16:53 3 oct 2019
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	===Bacteriology===		===Bacteriology===
	*50% of cases caused by [[S. epidermidis]]		*50% of cases caused by [[S. epidermidis]]
	*Also caused by [[S. aureus]], [[Gram-~~negatives~~]], [[anaerobes]]		*Also caused by [[S. aureus]], [[Gram-negative]]s, [[anaerobes]]

	==Clinical Features==		==Clinical Features==

2019-10-03T16:53:42Z

← Revisión anterior		Revisión del 16:53 3 oct 2019
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	==Background==		==Background==
	*Occurrence		*Occurrence
	**50% within first 2 weeks of placement		**50% within first 2 weeks of placement/manipulation
	**70% within 2 months of placement		**70% within 2 months of placement/manipulation
	**80% within 6 months of placement		**80% within 6 months of placement/manipulation
	**10% present >1 year after surgery		**10% present >1 year after surgery

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	===Bacteriology===		===Bacteriology===
	*50% of cases caused by S. epidermidis		*50% of cases caused by [[S. epidermidis]]
	*Also caused by S. aureus, Gram-negatives, anaerobes		*Also caused by [[S. aureus]], [[Gram-negatives]], [[anaerobes]]

	==Clinical Features==		==Clinical Features==
	*Internal Infection		*Internal Infection
	**Mental status changes, headache, nausea and vomiting, irritability		**[[AMS\|Mental status changes]], [[headache]], [[nausea and vomiting]], irritability
	**Neck stiffness (33% of patients)		**Neck stiffness (33% of patients)
	**Fever is often absent		**[[Fever]] is often absent
	**Abdominal pain (VP shunt)		**[[Abdominal pain]] (VP shunt)
	*External Infection		*External Infection
	**Swelling, erythema, tenderness along site of shunt tubing		**Swelling, erythema, tenderness along site of shunt tubing

2016-09-24T11:37:55Z

2016-09-08T16:12:40Z

← Revisión anterior		Revisión del 16:12 8 sep 2016
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	==Evaluation==		==Evaluation==
			*Shunt tap (only done by neurosurgeon unless critically high ICP and no surgeon available)
	~~==Management==~~
	*Emergent neurosurgical consultation and admission
	*Shunt tap
	**[[LP]] often misses CSF shunt infections and has no role when shunt infection is suspected		**[[LP]] often misses CSF shunt infections and has no role when shunt infection is suspected
	*Imaging		*Imaging
	**Useful to exclude mechanical shunt malfunction (often coexists with infection)		**Useful to exclude mechanical shunt malfunction (often coexists with infection)
			==Management==
			*Emergent neurosurgical consultation and admission
	*[[Antibiotics]]		*[[Antibiotics]]
	**[[Cefepime]]/[[Ceftazidime]] or [[carbapenem]] + [[vancomycin]]		**[[Cefepime]]/[[Ceftazidime]] or [[carbapenem]] + [[vancomycin]]
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	==Disposition==		==Disposition==
			*Admit
	==See Also==		==See Also==
			*[[Ventriculoperitoneal shunt obstruction]]
			*[[Ventriculoperitoneal shunt overdrainage]]
			*[[Ventriculoperitoneal shunt mechanical failure]]
	==External Links==		==External Links==

2016-07-31T04:37:38Z

Text replacement - "HA" to "headache"

← Revisión anterior		Revisión del 04:37 31 jul 2016
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	==Clinical Features==		==Clinical Features==
	*Internal Infection		*Internal Infection
	**Mental status changes, HA, nausea and vomiting, irritability		**Mental status changes, headache, nausea and vomiting, irritability
	**Neck stiffness (33% of patients)		**Neck stiffness (33% of patients)
	**Fever is often absent		**Fever is often absent

2016-07-26T16:39:43Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-14T14:02:19Z

Text replacement - "N/V" to "nausea and vomiting"

← Revisión anterior		Revisión del 14:02 14 jul 2016
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	==Clinical Features==		==Clinical Features==
	*Internal Infection		*Internal Infection
	**Mental status changes, HA, ~~N/V~~, irritability		**Mental status changes, HA, nausea and vomiting, irritability
	**Neck stiffness (33% of patients)		**Neck stiffness (33% of patients)
	**Fever is often absent		**Fever is often absent

2016-07-13T03:59:58Z

Text replacement - " w/ " to " with "

← Revisión anterior		Revisión del 03:59 13 jul 2016
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	**[[LP]] often misses CSF shunt infections and has no role when shunt infection is suspected		**[[LP]] often misses CSF shunt infections and has no role when shunt infection is suspected
	*Imaging		*Imaging
	**Useful to exclude mechanical shunt malfunction (often coexists w/ infection)		**Useful to exclude mechanical shunt malfunction (often coexists with infection)
	*[[Antibiotics]]		*[[Antibiotics]]
	**[[Cefepime]]/[[Ceftazidime]] or [[carbapenem]] + [[vancomycin]]		**[[Cefepime]]/[[Ceftazidime]] or [[carbapenem]] + [[vancomycin]]

2016-06-21T16:49:10Z

Text replacement - " pts" to " patients"

← Revisión anterior		Revisión del 16:49 21 jun 2016
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	*Internal Infection		*Internal Infection
	**Mental status changes, HA, N/V, irritability		**Mental status changes, HA, N/V, irritability
	**Neck stiffness (33% of ~~pts~~)		**Neck stiffness (33% of patients)
	**Fever is often absent		**Fever is often absent
	**Abdominal pain (VP shunt)		**Abdominal pain (VP shunt)

2016-03-22T14:15:07Z

Text replacement - "Category:Neuro" to "Category:Neurology"

← Revisión anterior		Revisión del 11:37 24 sep 2016
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	*Admit		*Admit
	==See Also==		==See Also==
	*[[Ventriculoperitoneal shunt ~~obstruction~~]]		*[[Ventriculoperitoneal shunt problems]]
	*[[Ventriculoperitoneal shunt overdrainage]]
	*[[Ventriculoperitoneal shunt mechanical failure]]
	==External Links==		==External Links==