Pediatric hydrocephalus: systematic literature review and evidence-based guidelines

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An analysis of the evidence did not demonstrate a clear advantage for any specific shunt component, mechanism, or valve design over another.

Administration of preoperative antibiotic agents for shunt surgery in children was not found to lower the shunt infection risk.

Antibiotic-impregnated shunts lower the risk of shunt infection compared to the use of conventional silicone hardware.

There is insufficient evidence to recommend the occipital versus frontal point of entry for the ventricular catheter; therefore, both entry points are options for the treatment of pediatric hydrocephalus

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