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<< Ventriculoperitoneal Shunt Complications In Children: An Evidence-Based Approach To Emergency Department Management

Controversies And Cutting Edge

A promising development in the prevention of shunt infections is antibiotic-impregnated shunts.Shunts impregnated with clindamycin and rifampin have been introduced in an attempt to reduce shunt-related infections. Several reports suggest a benefit from these devices,111-113 while others are inconclusive or do not show any benefit.114-116 A prospective study involving 125 patients noted the potential problem of development of antibiotic-resistant bacteria with antibiotic-impregnated shunts.117 As these patients start presenting to EDs, emergency clinicians should be aware of their existence and the potential for these patients to harbor resistant strains of bacteria.

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