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http://dx.doi.org/10.1159/000103974 | DOI Listing |
J Neurosurg Pediatr
October 2024
15New Harmony Statistical Consulting, Clinton, Washington.
Objective: The Hydrocephalus Clinical Research Network (HCRN) implemented a perioperative infection prevention bundle for all CSF shunt surgeries in 2007 that included the relatively unproven technique of intrathecal instillation of the broad-spectrum antibiotics vancomycin and gentamicin into the shunt. In the meantime, the field debated the use of antibiotic-impregnated catheter (AIC) shunt tubing using clindamycin and rifampin, an increasingly widespread, but expensive and controversial, technique. It is unknown whether there were changes in infecting organisms associated with the use of these techniques during CSF shunt surgery at the hospital level.
View Article and Find Full Text PDFPediatr Infect Dis J
July 2024
Division of Infectious Diseases, Department of Pediatrics, Boston Medical Center, Boston, Massachusetts.
Background: Managing health care acquired and device-associated intracranial infections in young children can be challenging given adverse antibiotic side effects and difficulties in achieving adequate central nervous system (CNS) antibiotic concentrations. Ceftaroline is a cephalosporin with a favorable safety profile and activity against methicillin-resistant Staphylococci and several Gram-negative organisms. Published data on the use of ceftaroline for CNS infections in children and adults are limited.
View Article and Find Full Text PDFJ Antimicrob Chemother
February 2024
Division of Paediatric Neurosurgery, Department of Surgery, University of Cape Town, Cape Town, South Africa.
Background: Tuberculous meningitis (TBM) is the most lethal form of TB. To study the disease, drug concentrations in samples obtained from the spinal CSF are usually used to reflect brain concentrations. Emerging data suggest that transport of substances across capillaries in the brain (ventricular CSF) and spinal cord may differ.
View Article and Find Full Text PDFAntimicrob Agents Chemother
March 2023
Division of Neurosurgery, Department of Surgery, University of Cape Town, Cape Town, South Africa.
PLoS One
February 2024
Department of Surgery, Neurosurgical Unit, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Hydrocephalus is a neurological disease caused by an unusually high level of cerebrospinal fluid (CSF), which can be relieved by external ventricular drainage (EVD) insertion. However, the infection can lead to complications during the use of EVD. In this study, EVD was impregnated with three synergistic antibiotics, including rifampicin, clindamycin, and trimethoprim, to improve the antibacterial property.
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