Neurosurgically related nosocomial Acinetobacter baumannii meningitis: report of two cases and literature review

Summary Nosocomial meningitis is an uncommon complication of neurosurgical procedures, although nosocomial Gram-negative bacillary meningitis does occur occasionally in neurosurgical intensive care units (NSICUs). Acinetobacter baumannii is a rare cause of nosocomial meningitis, and is an even rarer...

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Bibliographic Details
Published in:The Journal of hospital infection 2009-02, Vol.71 (2), p.176-180
Main Authors: Krol, V, Hamid, N.S, Cunha, B.A
Format: Article
Language:English
Subjects:
Acinetobacter
Acinetobacter baumannii
Acinetobacter Infections - etiology
Ampicillin/Sulbactam
Antibacterial agents
Antibiotics. Antiinfectious agents. Antiparasitic agents
Biological and medical sciences
Catheters, Indwelling - adverse effects
Catheters, Indwelling - microbiology
Cerebrospinal fluid
Cross Infection - etiology
Cross Infection - microbiology
Equipment Contamination
Female
General aspects
Human infectious diseases. Experimental studies and models
Humans
Infectious Disease
Infectious diseases
Male
Medical Errors
Medical sciences
Meningitis
Meningitis, Bacterial - etiology
Meropenem
Middle Aged
Neurosurgery
Neurosurgical Procedures
Nosocomial meningitis
Pharmacology. Drug treatments
Ventriculostomy - adverse effects
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Summary:Summary Nosocomial meningitis is an uncommon complication of neurosurgical procedures, although nosocomial Gram-negative bacillary meningitis does occur occasionally in neurosurgical intensive care units (NSICUs). Acinetobacter baumannii is a rare cause of nosocomial meningitis, and is an even rarer cause of meningitis outbreaks in NSICUs. We report two cases of A. baumannii meningitis in an NSICU due to suboptimal aseptic technique in obtaining cerebrospinal fluid (CSF) specimens. After institution of infection control measures, i.e. aseptically collecting CSF specimens from distal external ventricular drain ports, there were no further cases. This report also reviews nosocomial Acinetobacter meningitis in adult neurosurgical patients.
ISSN:0195-6701
1532-2939
DOI:10.1016/j.jhin.2008.09.018