Yapay Zeka Hızlı Bakış & Çıkarımlar
AI InsightAlthough the percentage of detecting the infection was higher in LP group, both groups showed negativepredictive value of 100%.CONCLUSION: Both shunt tapping and LP are effective in establishing the diagnosis of shunt infection in suspected patients.
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Özet
AIM: To compare the results of lumbar puncture (LP) and shunt tapping in pediatric patients with suspected ventriculoperitonealshunt 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 madewhen at least one cerebrospinal fluid had positive culture results. The patients with negative cerebrospinal fluid culture results werefollowed 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 cerebrospinalfluid culture were found to have infections unrelated to shunts and did not show evidence of cerebrospinal fluid infection duringthe follow-up period. Although the percentage of detecting the infection was higher in LP group, both groups showed negativepredictive value of 100%.CONCLUSION: Both shunt tapping and LP are effective in establishing the diagnosis of shunt infection in suspected patients.