• 作者：Raquel Gutié ; rrez-Gonzá ; lez^a ; ^{rgutierrezgonzalez@yahoo.es} ; Gregorio R. Boto^a ; Cristina Ferná ; ndez-Pé ; rez^b ; Ná ; yade del Prado Gonzá ; lez^b
• 关键词：Derivaci&oacute ; n ; Lí ; quido cefalorraquí ; deo ; Factor de riesgo ; Infecci&oacute ; n ; Pron&oacute ; stico
• 刊名：Medicina Cl铆nica
• 出版年：2011
• 期刊代码：pca254_00257753
• 类别：med
• 出版时间：16 April 2011
• 卷：136
• 期：10
• 页码：417-422
• 文件大小：218 K

lass="h4">Background and objective

Shunt-related infection is a major complication. The effort to face up to this problem has focused on therapy, analysis of risk factors and primary prevention. The aim of this study is to identify risk factors for cerebrospinal fluid shunt infection.

lass="h4">Material and method

We retrospectively reviewed all patients who underwent shunt placement at our hospital during the period of study. Procedures followed for less than 90 days were excluded. One hundred and nineteen procedures were included in the final analysis.

lass="h4">Results

Infection rate per procedure was 8.4%. Previous cerebrospinal fluid infection, previous shunt and complete substitution of the shunt were identified as risk factors for infection in the univariate analysis. However, a multivariate analysis confirmed that previous cerebrospinal fluid infection was the only independent risk factor for shunt-related infection (p = 0.011).

lass="h4">Conclusion

Previous cerebrospinal fluid infection is an independent risk factor for shunt-related infection. Other factors such as age, gender, etiology of hydrocephalus, previous shunt or complete substitution of the shunt were not associated with increased risk of infection.