Shunt tapping versus lumbar puncture for evaluating cerebrospinal fluid infections in a pediatric population

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dc.authorid0000-0002-7282-3079
dc.authorid0000-0001-9257-3540
dc.contributor.authorÖzdol, Çağatay
dc.contributor.authorGediz, Tolga
dc.contributor.authorBaşak, Ahmet Tulgar
dc.contributor.authorBaşak, Nazlı
dc.contributor.authorAghayev, Kamran
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:49:49Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:49:49Z
dc.date.issued2019
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalı
dc.descriptionWOS: 000460303600017
dc.descriptionPubMed ID: 30649821
dc.description.abstractAIM: To compare the results of lumbar puncture (LP) and shunt tapping in pediatric patients with suspected ventriculoperitoneal shunt infection. MATERIAL and METHODS: Medical records of pediatric patients with suspected shunt infections were retrospectively analyzed. All patients had cerebrospinal fluid samples obtained either via shunt tapping, LP or both. The diagnosis of infection was made when at least one cerebrospinal fluid had positive culture results. The patients with negative cerebrospinal fluid culture results were followed up for at least 6 months to monitor the occurrence of central nervous system infection. RESULTS: There were 20 patients in the study (12 males, 8 females). Cerebrospinal fluid was obtained by shunt tapping in 11, by lumbar puncture in 9 and by both methods in one patient. Thirteen patients [ Shunt tapping: 5/11 (45%), LP: 7/9 (78%), Both: 1)] were diagnosed with shunt infection on the basis of cerebrospinal fluid culture. Seven patients with negative cerebrospinal fluid culture were found to have infections unrelated to shunts and did not show evidence of cerebrospinal fluid infection during the follow-up period. Although the percentage of detecting the infection was higher in LP group, both groups showed negative predictive value of 100%. CONCLUSION: Both shunt tapping and LP are effective in establishing the diagnosis of shunt infection in suspected patients.
dc.identifier.citationÖzdol, Ç., Gediz, T., Başak, A. T., Başak, N. ve Aghayev, K. (2019). Shunt tapping versus lumbar puncture for evaluating cerebrospinal fluid infections in a pediatric population. Turkish Neurosurgery, 29(2), 275-278. https://dx.doi.org/10.5137/1019-5149.JTN.24714-18.1
dc.identifier.doi10.5137/1019-5149.JTN.24714-18.1
dc.identifier.endpage278
dc.identifier.issn1019-5149
dc.identifier.issue2
dc.identifier.scopusqualityQ3
dc.identifier.startpage275
dc.identifier.urihttps://dx.doi.org/10.5137/1019-5149.JTN.24714-18.1
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1781
dc.identifier.volume29
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Neurosurgical Society
dc.relation.ispartofTurkish Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectShunt
dc.subjectInfection
dc.subjectLumbar Punctur
dc.subjectCerebrospinal Fluid
dc.titleShunt tapping versus lumbar puncture for evaluating cerebrospinal fluid infections in a pediatric population
dc.typeArticle

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