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Ventriculitis Caused by Multidrug-Resistant Bacteria in a Medical Intensive Care Unit with Limited Resources

Pedja Kovacevic1, Sasa Dragic1, Vlado Djajic1

  • 1University Clinical Centre of the Republika Srpska, Medical Faculty, University of Banja Luka, Banja Luka, Bosnia and Herzegovina.

Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine
|January 2, 2019
PubMed

Insights

Health care-associated meningitis and ventriculitis, often caused by resistant bacteria, are increasing. Resource-limited settings can manage these infections using guidelines and remote consultations.

Area of Science:

  • Neuroscience
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Increased use of medical devices in critically ill neurological patients.
  • Emergence of meningitis and ventriculitis caused by resistant Gram-negative bacteria and staphylococci.
  • Health care-associated meningitis and ventriculitis are increasingly recognized.

Observation:

  • Clinical practice in resource-limited countries lacks experience with advanced diagnostic/therapeutic tools.
  • Challenges exist in managing complications arising from these tools.
  • Existing guidelines and regional collaboration (video consultations) are valuable.

Findings:

  • Successful management of health care-associated meningitis and ventriculitis is achievable.
  • Adaptation of international guidelines to local contexts is crucial.
  • Remote collaboration enhances clinical decision-making in resource-limited settings.

Implications:

  • Need for tailored strategies for managing device-associated infections in resource-limited settings.
  • Importance of inter-regional collaboration and knowledge sharing.
  • Potential for improved patient outcomes despite resource constraints.
Keywords:
Central nervous system infectionscerebrospinal fluid drainscerebrospinal fluid shuntmeningitisventriculitis

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