Acinetobacter meningitis in post neurosurgical patients: epidemiology, antimicrobial resistance, treatment options and risk factors that predict the outcome.
Introduction: Post-operative meningitis caused by Acinetobacter sp. though a rare occurrence is a serious complication in neurosurgical ICUs. These are opportunistic organisms implicated in hospital-acquired infections. Aim: The aim was to study the epidemiology, the resistance pattern and the risk...
| Publicado en: | Canadian Journal of Infection Control / Revue Canadienne de Prévention des Infections Vol. 27; no. 3; pp. 153 - 160 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Infection Prevention & Control Canada (IPAC Canada)
Fall2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=82765389&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 82765389 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11835702 ILX jtl: Canadian Journal of Infection Control / Revue Canadienne de Prévention des Infections issn: 11835702 maglogo: N pubinfo: dt: Fall2012 vid: 27 iid: 3 pid: 30606 pub: Infection Prevention & Control Canada (IPAC Canada) place: Winnipeg, Manitoba artinfo: ui: 82765389 82765389 104428486 82765389 ppf: 153 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Acinetobacter meningitis in post neurosurgical patients: epidemiology, antimicrobial resistance, treatment options and risk factors that predict the outcome. aug: au: Bhargava, Aradhana Mishra, Bibhabati Thakur, Archana Dogra, Vinita Loomba, Poonam Jain, Manisha Gupta, Sonal Banerjee, Priyanka Haider, Mehvash affil: Department of Microbiology, G B Pant Hospital, New Delhi sug: subj: Meningitis, Bacterial Epidemiology Acinetobacter Infections Epidemiology Postoperative Complications Surgical Patients Neurosurgery Risk Factors Drug Resistance, Microbial Cross Infection Etiology Data Analysis Software Meningitis, Bacterial Mortality Acinetobacter Infections Mortality Intensive Care Units India Cerebrospinal Fluid Microbiology Microbial Culture and Sensitivity Tests Acinetobacter Infections Drug Therapy Meningitis, Bacterial Drug Therapy Glasgow Coma Scale Scales Descriptive Statistics Adult Male Female Chi Square Test Human Length of Stay Adult: 19-44 years Male Female ab: Introduction: Post-operative meningitis caused by Acinetobacter sp. though a rare occurrence is a serious complication in neurosurgical ICUs. These are opportunistic organisms implicated in hospital-acquired infections. Aim: The aim was to study the epidemiology, the resistance pattern and the risk factors associated with the mortality in patients of post-operative Acinetobacter meningitis. Setting and design: Tertiary-care hospital and an observational study. Materials and methods: All patients with nosocomial post surgical meningitis due to Acinetobacter sp. between January 2008 and February 2010 were reviewed. Statistical analysis: It was performed by using Statistical Package for Social Sciences for Windows 12.0 Programme. Results: During the study period, 286 (8.71%) cases of post-operative meningitis were identified. (Total no. operated cases were 3283). Out of these 31 (10.84%) developed Acinetobacter baumannii meningitis. The mortality rates were 51.61% (16 patients). The risk factors which predict fatal outcome were underlying serious neurosurgical condition, presence of EVD and CVC, type and number of neurosurgical procedures, inappropriate antibiotic therapy, resistance to carbapenems, low Glasgow Coma score and inability to achieve sterilization of CSF. Most of the Acinetobacter strains were multi-drug resistant. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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