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Shunt infection

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Management

  • management similar to acute bacterial meningitis
  • direct instillation of antibacterials into ventricles occasionally necessary for patients who have shunt infections that are difficult to eradicate or who cannot have shunt removed
  • if possible, antibiotic doses should be adjusted to achieve a trough CSF concentration:MIC ratio of 10-20
  • click here for doses recommended by IDSA
  • remove all components of infected shunt and institute external drainage if possible

©Charles Gomersall, April, 2014 unless otherwise stated. The author, editor and The Chinese University of Hong Kong take no responsibility for any adverse event resulting from the use of this webpage.
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