Age: please note that this age is the average age of the patients reported in the article, as the actual age of patients involved was not provided.Gender: please note that this is the gender of the majority of patients reported in the article as the actual genders of patients involved was not provided.Event date: please note that this date is based off the date of publication of the article as the actual event date was not provided.If information is provided in the future, a supplemental report will be issued.
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Miguel mayol, samuel estronza,ivan j.Sosa, juan a.Vigo, emil a.Pastrana.Efficacy of hydromer-coated and antibiotic-impregnated shunt systems in reducing early shunt infections in the pediatric population.Puerto rico health sciences journal 38 (2019).Objective: shunt infection is the most common complication following a cerebrospinal fluid (csf) diversion procedure with devastating consequences.This study analyzes the efficacy of different shunt systems in reducing early shunt infections in the pediatric population.Methods: retrospective case study analysis of 177 pediatric patients with hydrocephalus de novo shunted using hydromer-coated (hc) shunt systems, antibiotic-impregnated (ai) shunt systems and standard non-impregnated shunt systems was performed and compared for the incidence of shunt infection in the early postoperative period.Results: group a consisted of standard shunt systems with 63 patients, group b were hc shunt systems with 67 patients and group c consisted of 47 patients with antibiotic-impregnated shunt systems.Mean age in group a was 1.36 +/- 3.36 years mean age in group b was 2.32 +/- 4.69 years.Mean age in group c: 0.64 +/- 1.70 years.In terms of shunt infections, hc group had 4 shunt infections (6.25%), as compared to the control group, where 7 patients (10.45%) had infections.The ai group had 1 infection (2.13%).When comparing hc systems versus standard non-impregnated there were 3 shunt malfunction in group a (4.8%), 2 shunt malfunction in group b (3.3%) and 0 shunt malfunction in group c (0%).Conclusion: hydromer-coated shunt systems and antibiotic-impregnated shunt system represent a superior alternative to standard shunt systems for the reduction of shunt infection in the early post operative period.Reported events.- there were 4 (6.25%) patients with shunt infections in the hc group.The most common causative organism was staphylococcus aureus.
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