{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T05:16:02Z","timestamp":1732598162319,"version":"3.28.0"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T00:00:00Z","timestamp":1720656000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003Our aim was to assess the efficacy of ventriculoperitoneal shunt (VPS) for treating postoperative central nervous system infection (PCNSI) complicated with hydrocephalus and to identify factors associated with treatment failure.<\/jats:p><jats:p>\n          Materials and Methods\u2003We conducted a retrospective analysis of PCNSI patients with hydrocephalus treated by VPS at the Department of Neurosurgery, the First Affiliated Hospital, College of Medicine, Zhejiang University, between December 2012 and January 2020. Functional recovery was evaluated during follow-up using the Glasgow Outcome Scale.<\/jats:p><jats:p>\n          Results\u2003A total of 29 patients (21 males, 8 females) were enrolled in the study (mean age: 56.4\u2009\u00b1\u200912.0 years, range: 18.0\u201377.0 years). Seventeen patients were treated successfully by VPS (58.6%). Among the 11 patients with shunt complications (37.9%), 8 (27.6%) presented with fever, 3 (10.3%) with shunt infection, and 3 (10.3%) with shunt obstruction. Univariate analysis identified low Glasgow Coma Scale (GCS) score (3\u20138) at the time of VPS and post-treatment fever as predictive of shunt failure.<\/jats:p><jats:p>\n          Conclusion\u2003VPS was effective for treating PCNSI complicated with hydrocephalus. However, patients with low GCS score at the time of VPS or fever post-treatment were at greater risk of shunt failure and poor outcome.<\/jats:p>","DOI":"10.1055\/s-0042-1757727","type":"journal-article","created":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T23:01:11Z","timestamp":1720738871000},"page":"634-640","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy of Ventriculoperitoneal Shunt for Postoperative Central Nervous System Infection Complicated with Hydrocephalus"],"prefix":"10.1055","volume":"19","author":[{"given":"FuMei","family":"Chen","sequence":"additional","affiliation":[{"name":"Emergency and Trauma Center, The International Medical Center, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Na","family":"Wang","sequence":"additional","affiliation":[{"name":"Emergency and Trauma Center, The International Medical Center, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li","family":"Wang","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ZhiYang","family":"He","sequence":"additional","affiliation":[{"name":"Emergency and Trauma Center, The International Medical Center, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"KangLi","family":"Xu","sequence":"additional","affiliation":[{"name":"Emergency and Trauma Center, The International Medical Center, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"TianXiang","family":"Zhan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qian","family":"Zhou","sequence":"additional","affiliation":[{"name":"Emergency and Trauma Center, The International Medical Center, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"XiaoFeng","family":"Yang","sequence":"additional","affiliation":[{"name":"Emergency 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Valentini","year":"2008","journal-title":"Neurosurgery"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1086\/518580","article-title":"Postoperative central nervous system infection: incidence and associated factors in 2111 neurosurgical procedures","volume":"45","author":"S McClelland III","year":"2007","journal-title":"Clin Infect Dis"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1080\/02688697.2018.1519112","article-title":"Prospective study evaluating post-operative central nervous system infections following cranial surgery","volume":"33","author":"Y F Ma","year":"2019","journal-title":"Br J Neurosurg"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"295","DOI":"10.4103\/2319-4170.113368","article-title":"Mixed infection in adult post-neurosurgical bacterial meningitis: a hospital-based study","volume":"36","author":"W A Lai","year":"2013","journal-title":"Biomed 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Results of a prospective clinical study","volume":"50","author":"H W Pfister","year":"1993","journal-title":"Arch Neurol"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.surneu.2004.10.009","article-title":"Clinical relevance of hydrocephalus in bacterial meningitis in adults","volume":"64","author":"K W Wang","year":"2005","journal-title":"Surg Neurol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1186\/1471-2334-13-321","article-title":"Hydrocephalus is a rare outcome in community-acquired bacterial meningitis in adults: a retrospective analysis","volume":"13","author":"J Bodilsen","year":"2013","journal-title":"BMC Infect Dis"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1016\/j.wneu.2016.10.136","article-title":"The rate of complications after ventriculoperitoneal shunt surgery","volume":"98","author":"A E Merkler","year":"2017","journal-title":"World Neurosurg"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1007\/s10096-013-2026-2","article-title":"Post-operative central nervous system infections after cranial surgery in China: incidence, causative agents, and risk factors in 1,470 patients","volume":"33","author":"R Zhan","year":"2014","journal-title":"Eur J Clin Microbiol Infect Dis"},{"issue":"19","key":"ref14","doi-asserted-by":"crossref","first-page":"2700","DOI":"10.1001\/jama.1989.03430190084036","article-title":"Differential diagnosis of acute meningitis. 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