Změna mikrobiologickýho vzorku u pacientů s potvrzenou bakteriální meningitidou po postkraniotomiální operaci

English version

Authors: Ch. Chang-Hua ¹; Y. Hua-Cheng ²; Ch. Yu-Jun ³; L. Chih-Wei ⁴
Authors‘ workplace: Changhua Christian Hospital, Changhua, Taiwan, Division of Infectious Disease, Department of Internal Medicine ¹; Changhua Christian Hospital, Changhua, Taiwan, Division of Neurosurgery, Department of Surgery ²; Changhua Christian Hospital, Changhua, Taiwan, Laboratory of Epidemiology and Biostatistics ³; Changhua Christian Hospital, Changhua, Taiwan, Department of Medical Imaging ⁴
Published in: Cesk Slov Neurol N 2017; 80/113(1): 80-83
Category: Short Communication

Overview

Meningitida po kraniotomii(PCM) představuje důležitou výzvu v neurochirurgii. Tato práce popisuje diagnostikovanou PCM u 22 z 4 392 pacientů s provedenou kraniotomií v intervalu mezi 1. lednem 2008 a 31. prosincem 2012. U sedmi pacientů s meningitidou způsobenou bakterií Acinetobacter baumannii a u 15 pacientů s neprokázanou Acinetobacter baumannii meningitidou byly signifikantní rozdíly ve výskytu traumatu hlavy (OR = 5,873, 95% CI 1,575–17,511; p = 0,004), a lokalizací infekce mimo centrální nervový systém (OR = 0,872, 95% CI 0,665–1,621; p = 0,003). Naše sdělení nabízí lékařům aktuální pohled na měnící se vzorec infekčních agens u PCM.

Klíčová slova:
meningitida – neurochirurgie – Acinetobacter baumannii – Staphylococcus aureus – poranění hlavy

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