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Cerebrospinal fluid shunt infection: microbiological basis

Bayston, Roger



Giuseppe Cinalli

M. Memet Ozek

Christian Sainte-Rose


Shunt infection rates have fallen in recent decades but are still too high, especially when infants under 6 months of age are shunted. The causative bacteria are mainly staphylococci derived from the patient’s skin during operation. Bacteria develop biofilms inside the shunt and this has important implications for treatment. The protective effect of perioperative antibiotic prophylaxis is weak, leading to increased use of antimicrobial shunt catheters, though greater attention to operating room asepsis and antisepsis are at least as important.


Bayston, R. (2018). Cerebrospinal fluid shunt infection: microbiological basis. In M. M. Ozek, C. Sainte-Rose, & G. Cinalli (Eds.), Pediatric hydrocephalus (1-19). Cham: Springer Publishing Company.

Acceptance Date Mar 25, 2018
Online Publication Date Sep 12, 2018
Publication Date Sep 12, 2018
Deposit Date Oct 10, 2018
Publicly Available Date Sep 13, 2020
Publisher Springer Publishing Company
Pages 1-19
Book Title Pediatric hydrocephalus
Chapter Number N/a
ISBN 9783319318899
Keywords Staphylococci; Patient skin antisepsis; Biofilm; Diagnosis; Treatment; Prevention
Public URL
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