Ventricular shunt infection - Revision history

Aidan at 23:16, 12 March 2022

2022-03-12T23:16:52Z

← Older revision		Revision as of 23:16, 12 March 2022
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	*[[Staphylococcus aureus]]		*[[Staphylococcus aureus]]
	*[[Coagulase-negative staphylococci]]		*[[Coagulase-negative staphylococci]]
	*[[Candida ~~species~~]]		*[[Candida]]

	===Pathophysiology===		===Pathophysiology===

Aidan: added further reading

2020-08-12T21:52:57Z

added further reading

← Older revision		Revision as of 21:52, 12 August 2020
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	== Background ==		==Background==

	=== Microbiology ===		===Microbiology===

	* [[Enterobacteriaceae]]		*[[Enterobacteriaceae]]
	* [[Pseudomonas aeruginosa]]		*[[Pseudomonas aeruginosa]]
	* [[Staphylococcus aureus]]		*[[Staphylococcus aureus]]
	* [[Coagulase-negative staphylococci]]		*[[Coagulase-negative staphylococci]]
	* [[Candida species]]		*[[Candida species]]

	=== Pathophysiology ===		===Pathophysiology===

	* Four mechanisms of infection:		*Four mechanisms of infection:
	** Colonization at time of surgery progressing to infection		**Colonization at time of surgery progressing to infection
	** Retrograde infection from distal end (for ventriculoperitoneal shunts)		**Retrograde infection from distal end (for ventriculoperitoneal shunts)
	** Transcutaneous (erosion or manipulation)		**Transcutaneous (erosion or manipulation)
	** Hematogenous spread (especially for ventriculoatrial shunts)		**Hematogenous spread (especially for ventriculoatrial shunts)

	== Clinical Manifestations ==		==Clinical Manifestations==

	* Headache, nausea, lethargy, and altered mental status		*Headache, nausea, lethargy, and altered mental status
	* May have erythema and tenderness over the tubing		*May have erythema and tenderness over the tubing
	* May have abdominal pain if peritoneal source for VP shunt		*May have abdominal pain if peritoneal source for VP shunt
	* Can present with isolated fever		*Can present with isolated fever

			== Further Reading ==

			* 2017 Infectious Diseases Society of America's Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis. ''Clin Infect Dis''. 2017;64(6):e34-e65. doi: [https://doi.org/10.1093/cid/ciw861 10.1093/cid/ciw861]

	[[Category:Infectious diseases]]		[[Category:Infectious diseases]]

Aidan: Created page with "== Background == === Microbiology === * Enterobacteriaceae * Pseudomonas aeruginosa * Staphylococcus aureus * Coagulase-negative staphylococci * Candida sp..."

2020-08-12T21:48:25Z

Created page with "== Background == === Microbiology === * Enterobacteriaceae * Pseudomonas aeruginosa * Staphylococcus aureus * Coagulase-negative staphylococci * Candida sp..."

New page

== Background ==

=== Microbiology ===

* [[Enterobacteriaceae]]
* [[Pseudomonas aeruginosa]]
* [[Staphylococcus aureus]]
* [[Coagulase-negative staphylococci]]
* [[Candida species]]

=== Pathophysiology ===

* Four mechanisms of infection:
** Colonization at time of surgery progressing to infection
** Retrograde infection from distal end (for ventriculoperitoneal shunts)
** Transcutaneous (erosion or manipulation)
** Hematogenous spread (especially for ventriculoatrial shunts)

== Clinical Manifestations ==

* Headache, nausea, lethargy, and altered mental status
* May have erythema and tenderness over the tubing
* May have abdominal pain if peritoneal source for VP shunt
* Can present with isolated fever

[[Category:Infectious diseases]]
[[Category:CNS infections]]