Microbial infection as a complication of shunt surgery in a sample of Iraqi patients suffering from hydrocephalus
Objectives. In this study, we aimed at assessing shunt infections in a sample of Iraqi patients who have been surgically treated with ventriculoperitoneal shunt. Materials and methods. A total of 208 patients were enrolled in this study. All of the patients have been submitted to diversion techniqu...
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| Format: | Article |
| Language: | English |
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Amaltea Medical Publishing House
2023-09-01
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| Series: | Romanian Journal of Neurology |
| Subjects: | |
| Online Access: | https://rjn.com.ro/articles/2023.3/RJN_2023_3_Art-09.pdf |
| _version_ | 1797354002857328640 |
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| author | Hind Suhail Ali Mahasen M. Abd Al-Majeed Dhelal Qasim Mohammed Asaad F. Albayati |
| author_facet | Hind Suhail Ali Mahasen M. Abd Al-Majeed Dhelal Qasim Mohammed Asaad F. Albayati |
| author_sort | Hind Suhail Ali |
| collection | DOAJ |
| description | Objectives. In this study, we aimed at assessing shunt infections in a sample of Iraqi patients who have been surgically treated with ventriculoperitoneal shunt.
Materials and methods. A total of 208 patients were enrolled in this study. All of the patients have been submitted to diversion technique, namely ventriculoperitoneal shunt, due to hydrocephalus, with subsequent shunt infection. This work is conducted in specialized hospital for neurosurgery in Baghdad during the period extended from June 2018 to September 2022. Ten milliliters of cerebrospinal fluid (CSF) obtained during surgical removal of the shunt were, thereafter, investigated for bacterial infections as expected complications. Outcomes. Fifty six CSF samples (26.92%) out to f the 208 examined ones showed positive bacterial culture. Among the studied samples, the most affected age group was 1-5 years. The predominant bacteria were Staphylococcus aureus (37.5%), followed by Klebsiella spp. (32.1%). All Staphylococcus aureus infections were sensitive to Vancomycin, 42% to
oxacillin, 28.5% to Fusidic acid and 9.5% to Cefotaxime, while 88.8% of Klebsiella showed sensitivity to Ciprofloxacin and 72% showed sensitivity to Meropenem.
Conclusion. Ventriculoperitoneal shunt malfunction may result from different complications, and the bacterial infection represents an important one. Staphylococcus spp. is more commonly seen as causative agent of these infections, with gram negative rods come next. |
| first_indexed | 2024-03-08T13:39:06Z |
| format | Article |
| id | doaj.art-380593342797470aaf3b9b427425d779 |
| institution | Directory Open Access Journal |
| issn | 1843-8148 2069-6094 |
| language | English |
| last_indexed | 2024-03-08T13:39:06Z |
| publishDate | 2023-09-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Journal of Neurology |
| spelling | doaj.art-380593342797470aaf3b9b427425d7792024-01-16T12:08:30ZengAmaltea Medical Publishing HouseRomanian Journal of Neurology1843-81482069-60942023-09-0122323824110.37897/RJN.2023.3.9Microbial infection as a complication of shunt surgery in a sample of Iraqi patients suffering from hydrocephalusHind Suhail Ali0Mahasen M. Abd Al-Majeed1Dhelal Qasim Mohammed2Asaad F. Albayati3Department of Pathology, College of Medicine, Aliraqia University, Baghdad, IraqDepartment of Physiology, College of Medicine, Aliraqia University, Baghdad, IraqDepartment of Physiology, College of Medicine, Aliraqia University, Baghdad, IraqDepartment of Pathology, College of Medicine, Aliraqia University, Baghdad, IraqObjectives. In this study, we aimed at assessing shunt infections in a sample of Iraqi patients who have been surgically treated with ventriculoperitoneal shunt. Materials and methods. A total of 208 patients were enrolled in this study. All of the patients have been submitted to diversion technique, namely ventriculoperitoneal shunt, due to hydrocephalus, with subsequent shunt infection. This work is conducted in specialized hospital for neurosurgery in Baghdad during the period extended from June 2018 to September 2022. Ten milliliters of cerebrospinal fluid (CSF) obtained during surgical removal of the shunt were, thereafter, investigated for bacterial infections as expected complications. Outcomes. Fifty six CSF samples (26.92%) out to f the 208 examined ones showed positive bacterial culture. Among the studied samples, the most affected age group was 1-5 years. The predominant bacteria were Staphylococcus aureus (37.5%), followed by Klebsiella spp. (32.1%). All Staphylococcus aureus infections were sensitive to Vancomycin, 42% to oxacillin, 28.5% to Fusidic acid and 9.5% to Cefotaxime, while 88.8% of Klebsiella showed sensitivity to Ciprofloxacin and 72% showed sensitivity to Meropenem. Conclusion. Ventriculoperitoneal shunt malfunction may result from different complications, and the bacterial infection represents an important one. Staphylococcus spp. is more commonly seen as causative agent of these infections, with gram negative rods come next. https://rjn.com.ro/articles/2023.3/RJN_2023_3_Art-09.pdfventriculoperitoneal shuntcomplicationsbacterial infectioniraqi patients |
| spellingShingle | Hind Suhail Ali Mahasen M. Abd Al-Majeed Dhelal Qasim Mohammed Asaad F. Albayati Microbial infection as a complication of shunt surgery in a sample of Iraqi patients suffering from hydrocephalus Romanian Journal of Neurology ventriculoperitoneal shunt complications bacterial infection iraqi patients |
| title | Microbial infection as a complication of shunt surgery in a sample of Iraqi patients suffering from hydrocephalus |
| title_full | Microbial infection as a complication of shunt surgery in a sample of Iraqi patients suffering from hydrocephalus |
| title_fullStr | Microbial infection as a complication of shunt surgery in a sample of Iraqi patients suffering from hydrocephalus |
| title_full_unstemmed | Microbial infection as a complication of shunt surgery in a sample of Iraqi patients suffering from hydrocephalus |
| title_short | Microbial infection as a complication of shunt surgery in a sample of Iraqi patients suffering from hydrocephalus |
| title_sort | microbial infection as a complication of shunt surgery in a sample of iraqi patients suffering from hydrocephalus |
| topic | ventriculoperitoneal shunt complications bacterial infection iraqi patients |
| url | https://rjn.com.ro/articles/2023.3/RJN_2023_3_Art-09.pdf |
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