EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database , Academia ,

ISSN 2394-3211

Impact Factor: 7.065

ICV - 79.57

Abstract

STUDY OF EARLY VENTRICULO-PERITONEAL (VP) SHUNT INFECTION FOLLOWING SHUNT PLACEMENT FOR HYDROCEPHALOUS IN CHILDREN

Swapan Kumar Paul*, Rakibul Islam, Ashim Kumar Sarker, Durlav Kanti Paul, Delwar Hossain and Mm Aminur Rashid

ABSTRACT

Background: Ventriculo peritoneal (VP) shunt placement is a common procedure for hydrocephalus in all age group. VP shunt infection is a major concern for treating surgeons and physicians. Malfunctioning of the shunt is a common consequences following shunt infection. Hydrocephalus is a common neurosurgical problem and treated commonly with ventriculo-peritoneal shunt. Hydrocephalus was diagnosed clinically by history, sign and symptoms and was confirmed by CT scan or MRI of brain. In this study we have diagnosed early shunt infection by analyzing the signs and symptoms following shunt placement that will help in early detection of shunt infection and faster management. Methods: This is a prospective interventional study. The study was done from January 2019 to December 2021 in Bangladesh Shishu Hospital & Institute (BSH&I). Sixty patients were underwent VP shunt placement for hydrocephalus (HCP). They were followed up to 30 days after surgery. They were evaluated with presence of undue continuous fever, signs of infection along the shunt on the absence of other causes, indication of infection along the shunt tract or incision site and signs of meningeal irritation or peritonitis. Results: Out of sixty patients underwent for VP shunt placement, fourteen (23.33%) patients had VP shunt infection. This is more in the neonatal and early infant age group (up to 2 months) and young child age group. Higher incidence of shunt infection also in the lower socioeconomic group. Most patients had fever, headache and neck rigidity. Conclusion: VP shunt placement is a common and popular procedure for CSF diversion for hydrocephalousin children Shunt infection reduces the success of this surgery.

Keywords: Hydrocephalus, VP shunt infection, signs and symptoms of meningitis and ventriculo-meningitis.

[Full Text Article] [Download Certificate]