helen_zhang ：To @Professor Li Xiaoyong Question：Hello Professor Li, how long is the recommended course of antibiotic treatment for post-bypass infection? Prof. Li Xiaoyong：
Antibiotic treatment is definitely recommended, but the course of treatment is closely related to the clinical manifestations of the patient and the severity of the intracranial brain infection. There are several types of post-shunt infections, including infectious neuritis and infectious parenchitis, which require a long course of antibacterial therapy, and simple meningitis, which may require a shorter course of treatment. The course of treatment is determined by the results of the anti-infection: cerebrospinal fluid tests and clinical. But with the recent national antibiotic control policy there will be a great contradiction, in fact, need to re-examine the policy and planning. xmylover ：To @Professor Li Xiaoyong Question：Hello Professor Li, there are 3 treatment options for post-shunt infection: pulling out the shunt for antibiotic treatment and then re
There are three treatment options for post-shunt infection: removing the shunt and treating with antibiotics and then shunting again, removing the shunt and shunting again, and keeping the shunt and treating with antibiotics. What do you think about these three treatment options? Prof. Li Xiaoyong : All three approaches have been successful.
All three approaches have been successful, but in terms of the rationale for treatment, the least desirable is to keep the shunt device for antibiotic treatment. The procedure of removing the shunt while placing the shunt again is actually no different from the first method, both are the worst, because the operator’s understanding of shunt infection has a serious misunderstanding: replacing an infected shunt with a non-infected one is a product of the concept of shunt infection. And then replaced with a shunt tube without infection whether the brain tissue or cerebrospinal fluid that was originally in contact with the infected shunt tube is infected again, it can be seen that this second method is no different from the first method, in addition to consuming the patient’s economy and the patient to bear the pain of another surgery, there is no description worth advocating, and from this analysis: the best method is to remove the shunt tube after antibiotic treatment, and then do the shunt after cure. 月九h凉 ：给@李小勇教授提問：Hello Professor Li, how do you administer perioperative prophylaxis to prevent postoperative infection after cerebrospinal fluid shunt? Prof. Li Xiaoyong
: Preventing postoperative cerebrospinal fluid shunt infection is not just a matter of how to administer medication in the perioperative period. According to our clinical research or experience of nearly 1,000 cases over the years, once postoperative cerebrospinal fluid shunt infection occurs, treatment with antibiotics and other medications is ineffective in most cases, and even some patients who are cured by anti-infection may be at risk for long-term reinfection or more serious conditions. Therefore, perioperative prophylaxis is a very important part of the preoperative period and should be individualized according to the causes of hydrocephalus. For example, post-traumatic brain injury and cerebral hemorrhage and meningitis are different from primary hydrocephalus in that the latter is only a surgical aseptic aspect, while the former requires many issues such as treatment of cerebral bulge, ventricular drainage and lumbar pool drainage, and skull repair issues, each of which is far more complex than what medications are used. normalization is the answer you are looking for; the respective methods of prevention will not be the same.