کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3398953 | 1222354 | 2006 | 7 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Biofilm-related infections of cerebrospinal fluid shunts Biofilm-related infections of cerebrospinal fluid shunts](/preview/png/3398953.png)
ABSTRACTCerebrospinal fluid (CSF) shunts carry a high risk of complications. Infections represent a major cause ofshunt failure. Diagnosis and therapy of such infections are complicated by the formation of bacterial biofilms attached to shunt surfaces. This study correlated the pathophysiology and clinical course of biofilm infections with microscopical findings on the respective shunts. Surface irregularities, an important risk-factor for shunt colonisation with bacteria, were found to increase over time because of silicone degradation. Scanning electron-microscopy (SEM) documented residual biological material (dead biofilm), which can further promote extant bacterial adhesion, on newly manufactured shunts. Clinical course and SEM both documented bacterial dissemination against CSF flow and the monodirectional valve. In all cases, biofilms grew on both the inner and outer surfaces of the shunts. Microscopy and conventional culture detected all bacterial shunt infections. Analyses of 16S rDNA sequences using conserved primers identified bacteria in only one of three cases, probably because of previous formalin fixation of the samples.
Journal: Clinical Microbiology and Infection - Volume 12, Issue 4, April 2006, Pages 331–337