الفهرس 
Abstract
Anatomy and physiology of brain and cerebrospinal fluidOnly 14 pages are availabe for public view
 |  | from | 32 |  |  |
| | | from | 32 | | |
Abstract
Shunt infection continues to be the single most frustrating complication in case of CSF shunt insertion. Although there is general agreement that intraoperative contamination is the cause of most shunt infection ,no systematic attempt have been made to identify the individual sources of such contamination .Method : This retrospect active study was done on all patients who admitted to neurosurgical care unit for shunt insertion or revision , we studied patients who underwent neurosurgical shunt operation during year ( 1/9/2008 - 1/9/2009 ) . These patients received pre and post operative nursing care to combat shunt infection . study design was retrospective explorer research design . Two tools were used to conduct this study. Tool one :”preoperative assessment sheet”. This tool was developed by the researcher to assess patient’s condition in the preoperative period and compromised of three parts. Part 1: assessment of the patient’s profile, Part 2:assessment of patient’s history, and Part 3 assessment of patient’s conditions. Tool two :” postoperative assessment sheet”. This tool was developed by the researcher to assess patient’s condition in the postoperative period and compromised of three parts. Part l:Shunt assessment sheet . Part 2:Patient assessment sheet . Part 3 Evaluation sheet of development of shunt infection. The main results : The finding of the current study revealed that the incidence of VP shunt infection was 20.8%. The preventive measures of VP shunt infection done by the critical care nurse such as prophylactic antibiotic , aseptic technique when handling shunt and during dressing ,good skin preparation by antiseptic solution and mouth care were highly significant in reducing VP shunt infection. It was observed that most of the studied patients experienced vomiting ,fever , irritability, and disturbed level of consciousness as signs and symptoms of VP shunt infection. While small proportion of the studied patients experienced exposure of shunt and hyperaemia along shunt tract. The finding of the current study revealed that age of patients , multiple shunt revision ,duration of operation ,number of people in the operative room, maintenance of aseptic technique , daily bath and Mouth care were significant risk factors in relation to development and also prevention of VP shunt infection . The finding of the current study revealed that the most common organisms which caused VP shunt infection were staphylococci epidermidis and s. aurous . conclusion : strict aseptic technique during caring of shunt , prophylactic antibiotic and standard nursing care have critical role in the prevention and reduction of shunt infection .