Central Nervous System Device Infections

Stenehjem, Edward; Armstrong, Wendy S.

doi:10.1016/j.idc.2011.09.006

Cited by 49 publications

(26 citation statements)

References 93 publications

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“…Recommendations 30. An elevated CSF lactate or an elevated CSF procalcitonin, or the combination of both, may be useful in the diagnosis of healthcare-associated bacterial ventriculitis and meningitis (weak, moderate).…”

Section: What Specific Tests Of Cerebrospinal Fluid Can Be Used mentioning

confidence: 99%

2017 Infectious Diseases Society of America’s Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis*

Tunkel

Hasbun

Bhimraj

et al. 2017

Clinical Infectious Diseases

552

544

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The Infectious Diseases Society of America (IDSA) Standards and Practice Guidelines Committee collaborated with partner organizations to convene a panel of 10 experts on healthcare-associated ventriculitis and meningitis. The panel represented pediatric and adult specialists in the field of infectious diseases and represented other organizations whose members care for patients with healthcare-associated ventriculitis and meningitis (American Academy of Neurology, American Association of Neurological Surgeons, and Neurocritical Care Society). The panel reviewed articles based on literature reviews, review articles and book chapters, evaluated the evidence and drafted recommendations. Questions were reviewed and approved by panel members. Subcategories were included for some questions based on specific populations of patients who may develop healthcare-associated ventriculitis and meningitis after the following procedures or situations: cerebrospinal fluid shunts, cerebrospinal fluid drains, implantation of intrathecal infusion pumps, implantation of deep brain stimulation hardware, and general neurosurgery and head trauma. Recommendations were followed by the strength of the recommendation and the quality of the evidence supporting the recommendation. Many recommendations, however, were based on expert opinion because rigorous clinical data are not available. These guidelines represent a practical and useful approach to assist practicing clinicians in the management of these challenging infections.

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“…The trends seen in other hospitals are consistent with our study, as described in the article by Kuo Wei; 7 however, other hospitals have reported Acinetobacter as the most common etiologic agent (Brazil and Australia). 2 The study conducted at our site by Grandi L., et al and published in 1997 3 documented a significant difference in the number of cells that stained Gram-negative, which was higher than the number observed to stain Gram-positive. This was also described for external CSF drainages.…”

Section: Discussionmentioning

confidence: 71%

“…2 Since a definitive CSF culture usually takes 5 to 7 days, CSF cytochemical findings have been used in clinical practice to choose the initial empirical antimicrobial treatment based on previously published studies. [3][4][5] The objective of this study was to evaluate the results of cytochemical and microbiological analyses of CSF samples obtained from children with pyogenic ventriculitis associated to ventriculoperitoneal shunt systems (VPS) and establish the association between cytochemical findings and the type of microorganism.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of cerebrospinal fluid (CSF) among children with ventriculoperitoneal shunt infections

2015

arch Argent Pediat

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A common (5%) complication of cerebrospinal fluid (CSF) shunt systems is infection. CSF cytochemical findings have been used to choose the initial empirical antimicrobial treatment. The objective was to evaluate the results of cytochemical and microbiological analyses of CSF samples obtained from children with pyogenic ventriculitis associated to ventriculoperitoneal shunt systems. This was a retrospective, descriptive and analytical study. Thirty-two cases of pyogenic ventriculitis were included; Gram-positive bacteria were predominant in 26 cases (81.25%); the rest corresponded to Gram-negative bacteria. There were no statistically significant differences for the studied outcome variables (CSF cellularity, glucose and protein levels). Conclusion: Gram-positive bacteria were widely predominant as a cause of pyogenic ventriculitis associated to the surgical procedure. CSF characteristics show a high heterogeneity and were not associated to the type of microorganism in this studied sample.

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“…Existen instituciones hospitalarias que coinciden con nuestra tendencia, como señala el artículo de Kuo Wei, 7 y, en cambio, otras difieren e informan como agente etiológico más común al Acynetobacter (Brasil y Australia). 2 En el estudio de Grandi L. y colaboradores realizado en nuestro centro y publicado en 1997, 3 se había documentado una significativa diferencia en el número de células que provocaba la infección por gérmenes Gram negativos, que era mayor que en las infecciones por gérmenes Gram positivos. También fue descrito el mismo fenómeno en drenajes de LCR al exterior.…”

Section: Discussionunclassified

“…2 Debido a que el cultivo definitivo del LCR puede demorar entre 5 y 7 días, habitualmente, en la práctica clínica, se han utilizado las características citoquímicas del LCR para decidir el tratamiento antimicrobiano empírico inicial teniendo en cuenta estudios previos publicados. [3][4][5] E l o b j e t i v o d e l p r e s e n t e t r a b a j o f u e investigar las características citoquímicas y microbiológicas que presentan los LCR de niños con pioventriculitis asociadas a sistemas de derivación ventrículo-peritoneales (DVP) y determinar la asociación entre los hallazgos citoquímicos y el tipo de germen.…”

Section: Introductionunclassified

Características del líquido cefalorraquídeo en niños con infecciones del sistema de derivación ventrículo-peritoneal

et al. 2015

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RESUMENUna complicación frecuente (5%) de las derivaciones de líquido cefalorraquídeo (LCR) es la infección. Se han utilizado las características citoquímicas del LCR para decidir el tratamiento antimicrobiano empírico inicial. El objetivo fue investigar las características citoquímicas y microbiológicas que presentan los LCR de niños con pioventriculitis asociadas a sistemas de derivación ventrículo-peritoneales. Se realizó un estudio retrospectivo, descriptivo y analítico. Se incluyeron 32 casos de pioventriculitis; predominaron las bacterias Gram positivas con 26 casos (81,25%); el resto fueron gérmenes Gram negativos. No hubo diferencias estadísticamente significativas para las variables estudiadas (glucorraquia, proteinorraquia y celularidad). Conclusión: las bacterias Gram positivas predominaron ampliamente como causa de pioventriculitis asociada al acto quirúrgico. Las características del LCR muestran alta heterogeneidad y no se asociaron con el tipo de germen en esta muestra estudiada. Palabras clave : ventriculitis cerebral, derivación ventrículo-peritoneal, líquido cefalorraquídeo, hidrocefalia.

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Central Nervous System Device Infections

Cited by 49 publications

References 93 publications

2017 Infectious Diseases Society of America’s Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis*

Characteristics of cerebrospinal fluid (CSF) among children with ventriculoperitoneal shunt infections

Características del líquido cefalorraquídeo en niños con infecciones del sistema de derivación ventrículo-peritoneal

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