CURRENT CONCEPTS Nosocomial Bacterial Meningitis

被引：275

作者：

van de Beek, Diederik ^{[1
]}

Drake, James M. ^{[2
]}

Tunkel, Allan R. ^{[3
]}

机构：

[1] Univ Amsterdam, Acad Med Ctr, Dept Neurol, CINIMA, NL-1100 DD Amsterdam, Netherlands

[2] Univ Toronto, Hosp Sick Children, Div Neurosurg, Dept Surg, Toronto, ON M5G 1X8, Canada

[3] Monmouth Med Ctr, Dept Med, Long Branch, NJ USA

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2010年 / 362卷 / 02期

关键词：

CEREBROSPINAL-FLUID SHUNT; RESISTANT STAPHYLOCOCCUS-AUREUS; EXTERNAL VENTRICULAR DRAINS; RISK-FACTORS; NEUROSURGICAL PATIENTS; ASEPTIC-MENINGITIS; CARE PATIENTS; INFECTIONS; MANAGEMENT; DIAGNOSIS;

D O I：

10.1056/NEJMra0804573

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Nosocomial bacterial meningitis is most often related to either complicated head trauma or invasive procedures, such as craniotomy, placement of ventricular catheters, intrathecal infusion of medications, or spinal anesthesia. In addition, metastatic infection from hospital-acquired bacteremia occasionally leads to meningitis. The conditions are associated with different pathogenetic mechanisms and a different spectrum of microorganisms, and therefore the choice of empirical antimicrobial therapy will vary according to the condition. Copyright © 2010 Massachusetts Medical Society.

引用

页码：146 / 154

页数：9

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