Journal of neurosurgery. Pediatrics
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J Neurosurg Pediatr · Nov 2014
Review Practice Guideline Meta AnalysisPediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 7: Antibiotic-impregnated shunt systems versus conventional shunts in children: a systematic review and meta-analysis.
The objective of this systematic review and meta-analysis was to answer the following question: Are antibiotic-impregnated shunts (AISs) superior to standard shunts (SSs) at reducing the risk of shunt infection in pediatric patients with hydrocephalus? ⋯ Level III, unclear degree of clinical certainty.
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J Neurosurg Pediatr · Nov 2014
Review Practice Guideline Meta AnalysisPediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 6: Preoperative antibiotics for shunt surgery in children with hydrocephalus: a systematic review and meta-analysis.
The objective of this systematic review and meta-analysis was twofold: to answer the question "What is the evidence for the effectiveness of prophylactic intravenous antibiotics for infection prevention in shunt surgery?" and to make treatment recommendations based on the available evidence. ⋯ Level II, moderate degree of clinical certainty.
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J Neurosurg Pediatr · Nov 2014
Review Practice GuidelinePediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 8: Management of cerebrospinal fluid shunt infection.
The objective of this systematic review was to answer the following question: What is the optimal treatment strategy for CSF shunt infection in pediatric patients with hydrocephalus? ⋯ Level III, unclear degree of clinical certainty.
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J Neurosurg Pediatr · Nov 2014
Review Practice GuidelinePediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 5: Effect of valve type on cerebrospinal fluid shunt efficacy.
The objective of this systematic review was to examine the existing literature to compare differing shunt components used to treat hydrocephalus in children, find whether there is a superior shunt design for the treatment of pediatric hydrocephalus, and make evidence-based recommendations for the selection of shunt implants when placing shunts. ⋯ Level II, moderate degree of clinical certainty.
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J Neurosurg Pediatr · Nov 2014
Review Practice GuidelinePediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 9: Effect of ventricular catheter entry point and position.
The objective of this guideline was to answer the following question: Do the entry point and position of the ventricular catheter have an effect on shunt function and survival? ⋯ Level III, unclear degree of clinical certainty.