CNS Shunt Infections
PATHOGENS
Commonly implicated pathogens:
- Coagulase-negative staphylococci
- S. aureus
- Streptococcal species
- Propionibacterium species
- Corynebacterium spp.
- Gram-negative bacteria
- Candida species
- Normal skin commensals cause the vast majority of CSF-shunt infections.
- Coagulase-negative staphylococci 40-45%, S. aureus 25%, C. acnes less common (usually less than 8% most series), Corynebacteria/diphtheroids (rare).
- Biofilm formation is likely an essential role in many infections.
- Coagulase-negative staphylococci 40-45%, S. aureus 25%, C. acnes less common (usually less than 8% most series), Corynebacteria/diphtheroids (rare).
- Patients with CSF shunts have an increased risk of meningitis caused by traditional pathogens (S. pneumoniae, N. meningitidis, H. influenzae); these are often treatable without shunt revision.
There's more to see -- the rest of this topic is available only to subscribers.
Last updated: May 13, 2024
Citation
Auwaerter, Paul. "CNS Shunt Infections." Johns Hopkins ABX Guide, The Johns Hopkins University, 2024. Pediatrics Central, peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540503/3.4/grapherence/cati/i108/479.png.
Auwaerter P. CNS Shunt Infections. Johns Hopkins ABX Guide. The Johns Hopkins University; 2024. https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540503/3.4/grapherence/cati/i108/479.png. Accessed October 31, 2024.
Auwaerter, P. (2024). CNS Shunt Infections. In Johns Hopkins ABX Guide. The Johns Hopkins University. https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540503/3.4/grapherence/cati/i108/479.png
Auwaerter P. CNS Shunt Infections [Internet]. In: Johns Hopkins ABX Guide. The Johns Hopkins University; 2024. [cited 2024 October 31]. Available from: https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540503/3.4/grapherence/cati/i108/479.png.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - CNS Shunt Infections
ID - 540503
A1 - Auwaerter,Paul,M.D.
Y1 - 2024/05/13/
BT - Johns Hopkins ABX Guide
UR - https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540503/3.4/grapherence/cati/i108/479.png
PB - The Johns Hopkins University
DB - Pediatrics Central
DP - Unbound Medicine
ER -