ETIOLOGIC SPECTRUM OF POST-OPERATIVE MENINGITIS IN NEUROSURGERY
Abstract
Postoperative meningitis is a rare neurosurgical complication with an incidence of 0.3%-1.5%. The most common pathogen in postoperative meningitis in many studies was Staphylococci, especially Staphylococcus aureus, however recent data reports increasing rates of gram-negative organisms. Material and methods: We performed a retrospective study including 32 patients, diagnosed with post-craniotomy meningitis, who underwent neurosurgery, hospitalized between 2016 and 2019 in “Sf. Parascheva” Clinical Hospital of Infectious Diseases from Iasi, in order to evaluate the presence of pathogens in cerebrospinal fluid samples. Results: The most common pathogens were Staphyloccoccus aureus, Streptococcus pneumoniae, followed by Acinetobacter speciae, Pseudomonas aeruginosa, Enteroccocus faecalis and Escherichia coli. Antibiotherapy was properly administrated according to the antibiogram. Conclusions: Early diagnosis, appropriate antibiotic treatment and an interdisciplinary approach can lead to a favorable outcome.
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