Cerebrospinal fluid culture and analysis in paediatric patients with shunt infection
Abstract Background: Shunt insertion is an invasive procedure frequently done in patients with excess cerebrospinal fluid (CSF). It comes with the risk of infection which could be ascertained through CSF examination. Objectives: To present the results of CSF culture and analysis in paediatri...
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id-langga.1257842023-04-30T10:45:46Z https://repository.unair.ac.id/125784/ Cerebrospinal fluid culture and analysis in paediatric patients with shunt infection Alivia Retra Kusumowardani, - Prastiya Indra Gunawan, Prastiya Deby Kusumaningrum, - Wihasto Suryaningtyas, Wihasto R5-920 Medicine (General) Abstract Background: Shunt insertion is an invasive procedure frequently done in patients with excess cerebrospinal fluid (CSF). It comes with the risk of infection which could be ascertained through CSF examination. Objectives: To present the results of CSF culture and analysis in paediatric patients with shunt infection in Dr. Soetomo General Hospital, Surabaya, Indonesia. Method: A retrospective study was conducted by reviewing medical records of patients with shunt infection aged 0–18 years old who were treated from January 2016 to December 2019. Results: Seventeen cases of paediatric shunt infection were identified in this study. Six (35.3%) patients belonged to the 1–12 month age group. The aetiology of shunt insertion was hydrocephalus in all cases. Seizure was the most common chief complaint (23.5%) at presentation. During hospitalisation, recurrent fever was found in 7 (41.5%) cases. CSF analysis showed increased white blood cells in 12 (70.6%) cases, decreased glucose level in 11 (64.7%) cases and elevated protein level >100mg/dl in 12 (70.6%) cases. The most frequently isolated pathogens were Staphylococcus aureus and Staphylococcus epidermidis, each appearing in 4 (23.5%) cases, followed by Escherichia coli in 3 (17.7%) cases. Conclusions: In this study paediatric patients with shunt infection showed raised white blood cells, decreased glucose and increased protein level on CSF examination. The most common pathogens were Staphylococcus aureus, Staphylococcus epidermidis, and Escherichia coli. Significant resistance to ampicillin was present. Sri Lanka College of Paediatricians Article PeerReviewed text en https://repository.unair.ac.id/125784/1/Artikel.pdf text id https://repository.unair.ac.id/125784/2/6.Karil.pdf text en https://repository.unair.ac.id/125784/3/5.%20Turnitin.pdf text en https://repository.unair.ac.id/125784/4/4.%20Bukti%20Korespondensi.pdf Alivia Retra Kusumowardani, - and Prastiya Indra Gunawan, Prastiya and Deby Kusumaningrum, - and Wihasto Suryaningtyas, Wihasto Cerebrospinal fluid culture and analysis in paediatric patients with shunt infection. Sri Lanka Journal of Child Health, 50 (3). pp. 463-441. ISSN pISSN 1391-5452, eISSN 2386-110x https://sljch.sljol.info/articles/10.4038/sljch.v50i3.9692/ https://doi.org/10.4038/sljch.v50i3.9692 |
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R5-920 Medicine (General) Alivia Retra Kusumowardani, - Prastiya Indra Gunawan, Prastiya Deby Kusumaningrum, - Wihasto Suryaningtyas, Wihasto Cerebrospinal fluid culture and analysis in paediatric patients with shunt infection |
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Abstract
Background: Shunt insertion is an invasive procedure frequently done in patients with excess cerebrospinal fluid (CSF). It comes with the risk of infection which could be ascertained through CSF examination.
Objectives: To present the results of CSF culture and analysis in paediatric patients with shunt infection in Dr. Soetomo General Hospital, Surabaya, Indonesia.
Method: A retrospective study was conducted by reviewing medical records of patients with shunt infection aged 0–18 years old who were treated from January 2016 to December 2019.
Results: Seventeen cases of paediatric shunt infection were identified in this study. Six (35.3%) patients belonged to the 1–12 month age group. The aetiology of shunt insertion was hydrocephalus in all cases. Seizure was the most common chief complaint (23.5%) at presentation. During hospitalisation, recurrent fever was found in 7 (41.5%) cases. CSF analysis showed increased white blood cells in 12 (70.6%) cases, decreased glucose level in 11 (64.7%) cases and elevated protein level >100mg/dl in 12 (70.6%) cases. The most frequently isolated pathogens were Staphylococcus aureus and Staphylococcus epidermidis, each appearing in 4 (23.5%) cases, followed by Escherichia coli in 3 (17.7%) cases.
Conclusions: In this study paediatric patients with shunt infection showed raised white blood cells, decreased glucose and increased protein level on CSF examination. The most common pathogens were Staphylococcus aureus, Staphylococcus epidermidis, and Escherichia coli. Significant resistance to ampicillin was present. |
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Article PeerReviewed |
author |
Alivia Retra Kusumowardani, - Prastiya Indra Gunawan, Prastiya Deby Kusumaningrum, - Wihasto Suryaningtyas, Wihasto |
author_facet |
Alivia Retra Kusumowardani, - Prastiya Indra Gunawan, Prastiya Deby Kusumaningrum, - Wihasto Suryaningtyas, Wihasto |
author_sort |
Alivia Retra Kusumowardani, - |
title |
Cerebrospinal fluid culture and analysis in paediatric patients with shunt
infection |
title_short |
Cerebrospinal fluid culture and analysis in paediatric patients with shunt
infection |
title_full |
Cerebrospinal fluid culture and analysis in paediatric patients with shunt
infection |
title_fullStr |
Cerebrospinal fluid culture and analysis in paediatric patients with shunt
infection |
title_full_unstemmed |
Cerebrospinal fluid culture and analysis in paediatric patients with shunt
infection |
title_sort |
cerebrospinal fluid culture and analysis in paediatric patients with shunt
infection |
publisher |
Sri Lanka College of Paediatricians |
url |
https://repository.unair.ac.id/125784/1/Artikel.pdf https://repository.unair.ac.id/125784/2/6.Karil.pdf https://repository.unair.ac.id/125784/3/5.%20Turnitin.pdf https://repository.unair.ac.id/125784/4/4.%20Bukti%20Korespondensi.pdf https://repository.unair.ac.id/125784/ https://sljch.sljol.info/articles/10.4038/sljch.v50i3.9692/ https://doi.org/10.4038/sljch.v50i3.9692 |
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