| Autor: |
Williams, Dianne G., Hayes, Joyce, McCool, Susan |
| Zdroj: |
Journal of Neuroscience Nursing; June 1996, Vol. 28 Issue: 3 p155-162, 8p |
| Abstrakt: |
Since the earliest attempt at surgical management of hydrocephalus, infection has been a significant complication. For better assessment and care the neuroscience nurse needs to be aware of the signs and management of this condition. A retrospective review of 68 infections in 61 children was undertaken. Results showed an increased incidence of infection in the first nine months after surgery. Gram positive organisms Staphylococcus epidermidis and Staphylococcus aureus were most frequent Propionohacter acnes was a significant pathogen in adolescence. Presenting symptoms included fever 26, abdominal pain 19, wound changes 22 and indicators of shunt malfunction 33. Elevated white blood cells WBCs in spinal fluid from shunt tap and positive cultures were most reliable laboratory data. Culturing of causative organism was sometimes difficult. A valve regulated system for ventricular drainage which allows greater mobility for the patient is described. |
| Databáze: |
Supplemental Index |
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