Back to Search
Start Over
Nosocomial meningitis in intensive care: a 10-year retrospective study and literature review
- Source :
- Acute and Critical Care, Vol 37, Iss 1, Pp 61-70 (2022)
- Publication Year :
- 2022
- Publisher :
- Korean Society of Critical Care Medicine, 2022.
-
Abstract
- Background Nosocomial meningitis is a medical emergency that requires early diagnosis, prompt initiation of therapy, and frequent admission to the intensive care unit (ICU). Methods A retrospective study was conducted in adult patients diagnosed with nosocomial meningitis who required admission to the ICU between April 2010 and March 2020. Meningitis/ventriculitis and intracranial infection were defined according to Centers for Disease Control and Prevention guidelines. Results An incidence of 0.75% of nosocomial meningitis was observed among 70 patients. The mean patient age was 59 years and 34% were ≥65 years. Twenty-two percent of patients were in an immunocompromised state. A clear predisposing factor for nosocomial meningitis (traumatic brain injury, basal skull fracture, brain hemorrhage, central nervous system [CNS] invasive procedure or device) was present in 93% of patients. Fever was the most frequent clinical feature. A microbiological agent was identified in 30% of cases, of which 27% were bacteria, with a predominance of Gram-negative over Gram-positive. Complications developed in 47% of cases, 24% of patients were discharged with a Glasgow coma scale
Details
- Language :
- English
- ISSN :
- 25866052 and 25866060
- Volume :
- 37
- Issue :
- 1
- Database :
- Directory of Open Access Journals
- Journal :
- Acute and Critical Care
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.459282f63ed4f8da32980593a2aabe4
- Document Type :
- article
- Full Text :
- https://doi.org/10.4266/acc.2021.01151