Ventriculoperitoneal Shunt Infection in Severely Disabled Adults: Association of a Modified Tracheostomy Focused Surgical Protocol with Reduced Infection Rates.
BACKGROUND: Ventriculoperitoneal shunt (VPS) infection is a serious complication following shunt placement for hydrocephalus, particularly in patients with severe neurological impairment who require prolonged rehabilitation and invasive supportive devices such as tracheostomy and nasogastric feeding. OBJECTIVE: This study a.....