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Image by Olga Guryanova

Ventriculoperitoneal Shunt Infection

MSSA/MRSA, Staphylococcus epidermidis, gram-negative bacilli

Cefepime 150mg/kg/day IV div q8h (max 2000mg/dose)

AND

Vancomycin IV [see dosing recommendations in Bugs and Drugs Section]¹

Empiric Therapy & Alternative Regimens

Duration of Therapy & Clinical Pearls

Consult Infectious Diseases and Neurosurgery.

 

Shunt removal is typically necessary in cases of confirmed shunt infection.

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