A Study to Formulate a Strategy to Prevent Ventriculoperitoneal Shunt Infection

Abstract

Aim This study aims to formulate a least expensive yet effective and simple surgical strategy for prevention of ventriculoperitoneal shunt infections. Patients and Methods This study was done prospectively in 486 cases admitted during the period from 2006 to 2013. Patients were divided into two groups and a protocol was devised to reduce shunt infections. In group 1, the shunt was done following the protocol and the other group, protocol was not followed. The various factors contributing to shunt infection were analyzed in detail and its statistical significance worked out. Results The group 1 where protocol is followed showed 0% incidence of shunt infection. In the group, where the protocol was not followed, it is observed that prolonged surgery, use of intermediate skin incision, and previous shunt surgery contribute to increased risk of shunt infection.