دورية أكاديمية
Role of Bangladesh Medical College Hospital (B.M.C.H) Protocol in Achieving Zero Shunt Infection in Paediatric Hydrocephalus
| العنوان: | Role of Bangladesh Medical College Hospital (B.M.C.H) Protocol in Achieving Zero Shunt Infection in Paediatric Hydrocephalus |
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| المؤلفون: | Rezina Hamid |
| المصدر: | European Jornal of Theoretical and Sciences 1(5) 45-55 |
| سنة النشر: | 2023 |
| المجموعة: | Zenodo |
| مصطلحات موضوعية: | Ommaya group, Non-Ommaya group, B.M.C.H protocol, Shunt infection |
| الوصف: | Ventriculoperitoneal shunt infection is one of the most dreadful complications of shunt surgery. Though topical, intravenous, and intraventricular antibiotics have been used; the infection rate is still high. It is a retrospective cohort study from Jan 2018 to Dec 2022 in Bangladesh Medical College, performed by a single Neurosurgeon. Objective: To see the effectiveness of the B.M.C.H protocol of shunt surgery in minimizing shunt infection. Method: 83 pediatric Ventriculo Peritoneal shunt cases were selected, who met the inclusion criteria. They were divided into 2 groups. One group had an Ommaya reservoir with or without endoscopic third ventriculostomy (failed) and was subject to cerebrospinal fluid aspiration for a considerable period followed by a shunt. The other group had conventional shunt (non-Ommaya) surgery. Results: The overall infection rate in our hospital in shunt surgery is 3.6%. Among the non-Ommaya or conventional shunt group, it reached 7.1%, while among the Ommaya group, there was not a single shunt infection in the follow-up period. 47% of babies came from the poorest population of the country. There was no significant relationship found between infection with a history of previous infection, per operative use of an endoscope, early age, or preterm birth. Follow up period was between 6 to 18 months. Conclusions: In a non-specialized hospital in a third-world country with limited neurosurgical capacity, following B.M.C.H. protocol, we found the babies who had Ommaya reservoir and underwent regular cerebrospinal fluid aspiration for a period of time before Ventriculo peritoneal shunt surgery were infection free in the long and short time follow up. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | https://zenodo.org/communities/ejtasTest; https://zenodo.org/record/8316063Test; https://doi.org/10.59324/ejtas.2023.1Test(5).05; oai:zenodo.org:8316063 |
| DOI: | 10.59324/ejtas.2023.1(5).05 |
| الإتاحة: | https://doi.org/10.59324/ejtas.2023.1Test(5).05 https://zenodo.org/record/8316063Test |
| حقوق: | info:eu-repo/semantics/openAccess ; https://creativecommons.org/licenses/by/4.0/legalcodeTest |
| رقم الانضمام: | edsbas.1297BC8C |
| قاعدة البيانات: | BASE |
| DOI: | 10.59324/ejtas.2023.1(5).05 |
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