Post-surgical Meningitis Due to Multiresistant Acinetobacter Baumannii. Effective Treatment with Intravenous And/or Intraventricular Colistin and Therapeutic Dilemmas

Overview

Journal Med Mal Infect

Publisher Elsevier

Specialties General Medicine
Infectious Diseases

Date 2007 Feb 3

PMID 17270377

Citations 6

Authors

E Paramythiotou

D Karakitsos

H Aggelopoulou

P Sioutos

G Samonis

A Karabinis

Affiliations

Soon will be listed here.

Abstract

Post-surgical meningitis and/or ventriculitis caused by Gram-negative bacteria may be difficult to treat due to the emergence of multiresistant strains. Two patients with multiresistant Acinetobacter baumannii central nervous system infection, successfully treated with either intravenous and/or intraventricular colistin are presented. Unresolved issues such as dose and duration of intraventricular colistin are discussed.

Citing Articles

Multidrug Resistant Brain Abscess Due to Ventriculitis Cleared by Intraventricular and Intravenous Tigecycline Therapy: A Case Report and Review of Literature.

Long W, Yuan J, Liu J, Liu J, Wu M, Chen X Front Neurol. 2018; 9:518.

PMID: 30026723 PMC: 6042469. DOI: 10.3389/fneur.2018.00518.

Post Neurosurgical Meningitis due to Colistin Heteroresistant Acinetobacter baumannii.

Moosavian M, Shoja S, Nashibi R, Ebrahimi N, Tabatabaiefar M, Rostami S Jundishapur J Microbiol. 2015; 7(10):e12287.

PMID: 25632326 PMC: 4295316. DOI: 10.5812/jjm.12287.

Intrathecal/intraventricular colistin in external ventricular device-related infections by multi-drug resistant Gram negative bacteria: case reports and review.

Bargiacchi O, Rossati A, Car P, Brustia D, Brondolo R, Rosa F Infection. 2014; 42(5):801-9.

PMID: 24728736 DOI: 10.1007/s15010-014-0618-0.

Antimicrobial treatment options for neurosurgical ventricular shunt infections in children from 1993 to 2012: a systematic review.

Drew R, Cole T, Lee M, Paulus S, Mallucci C, Riordan A Childs Nerv Syst. 2013; 30(5):841-50.

PMID: 24322604 DOI: 10.1007/s00381-013-2333-z.

Management of meningitis due to antibiotic-resistant Acinetobacter species.

Kim B, Peleg A, Lodise T, Lipman J, Li J, Nation R Lancet Infect Dis. 2009; 9(4):245-55.

PMID: 19324297 PMC: 2760093. DOI: 10.1016/S1473-3099(09)70055-6.