Nosocomial postneurosurgical Acinetobacter baumannii meningitis: a retrospective study of six cases admitted to Hamad General Hospital, Qatar

Summary This article reports six cases of nosocomial Acinetobacter baumannii meningitis in patients who had undergone neurosurgical procedures with placing of external ventricular drains. The mean time between surgery and onset of infection was 27 days [standard deviation (SD) 14] Multi-drug resista...

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Veröffentlicht in:	The Journal of hospital infection 2012-02, Vol.80 (2), p.176-179
Hauptverfasser:	Khan, F.Y, Abukhattab, M, Baager, K
Format:	Artikel
Sprache:	eng
Schlagworte:	A. baumannii Acinetobacter baumannii Acinetobacter baumannii - drug effects Acinetobacter baumannii - isolation & purification Acinetobacter Infections - diagnosis Acinetobacter Infections - microbiology Acinetobacter Infections - mortality Acinetobacter Infections - pathology Adult Aged Anti-Bacterial Agents - pharmacology Anti-Bacterial Agents - therapeutic use Biological and medical sciences Cross Infection - diagnosis Cross Infection - microbiology Cross Infection - mortality Cross Infection - pathology Drug Resistance, Multiple, Bacterial External ventricular drainages Female General aspects Hospitals, General Human infectious diseases. Experimental studies and models Humans Infectious Disease Infectious diseases Male Medical sciences Meningitis, Bacterial - diagnosis Meningitis, Bacterial - microbiology Meningitis, Bacterial - mortality Meningitis, Bacterial - pathology Middle Aged Nosocomial meningitis Qatar Retrospective Studies Surgical Wound Infection - diagnosis Surgical Wound Infection - microbiology Surgical Wound Infection - mortality Surgical Wound Infection - pathology Treatment Outcome Ventriculoperitoneal Shunt - adverse effects
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Zusammenfassung:	Summary This article reports six cases of nosocomial Acinetobacter baumannii meningitis in patients who had undergone neurosurgical procedures with placing of external ventricular drains. The mean time between surgery and onset of infection was 27 days [standard deviation (SD) 14] Multi-drug resistance was observed in three cases (50%) and carbapenem resistance was noted in two cases (33%). All patients had received empirical antibiotics and these were appropriate in five cases (83%). The mean duration of antimicrobial treatment was 12.5 (SD 2.4) days. Two of the six patients (33%) died in hospital.
ISSN:	0195-6701 1532-2939
DOI:	10.1016/j.jhin.2011.08.021