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Pediatric Hydrocephalus pp 1–19Cite as

Cerebrospinal Fluid Shunt Infection

Microbiological Basis

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Abstract

Shunt infection rates have fallen in recent decades but are still too high, especially when infants under 6 months of age are shunted. The causative bacteria are mainly staphylococci derived from the patient’s skin during operation. Bacteria develop biofilms inside the shunt, and this has important implications for treatment. The protective effect of perioperative antibiotic prophylaxis is weak, leading to increased use of antimicrobial shunt catheters, though greater attention to operating room asepsis and antisepsis is at least as important.

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  1. School of Medicine, University of Nottingham, Nottingham, UK

    Roger Bayston

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  1. Roger Bayston
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Correspondence to Roger Bayston .

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  1. Pediatric Neurosurgery, Santobono Pausilipon Children’s Hospital, Naples, Italy

    Giuseppe Cinalli

  2. Division of Pediatric Neurosurgery, Acıbadem University, School of Medicine, Istanbul, Istanbul, Turkey

    M. Memet Ozek

  3. Hopital Necker-Enfants Malades, Paris, France

    Christian Sainte-Rose

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Bayston, R. (2018). Cerebrospinal Fluid Shunt Infection. In: Cinalli, G., Ozek, M., Sainte-Rose, C. (eds) Pediatric Hydrocephalus. Springer, Cham. https://doi.org/10.1007/978-3-319-31889-9_76-1

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