Sapkota Shabal, Karn Mitesh, Regmi Sanjib Mani, Thapa Sushma, Miya Farhan Uddin, Yonghang Sapana
Department of Neurosurgery.
School of Medicine, and.
J Neurosurg Case Lessons. 2021 Aug 23;2(8):CASE21318. doi: 10.3171/CASE21318.
is a rare cause of nosocomial infection in humans. These organisms are capable of biofilm production and are intrinsically resistant to commonly used antibiotics, leading to high rates of morbidity and mortality. may very rarely cause postneurosurgical infection.
In this report, the authors describe two patients in whom infection complicated the postoperative course. Both the patients underwent craniotomy at approximately the same time under similar environments. The organism isolated was resistant to most of the commonly used antibiotics, and therapy tailored to the results of susceptibility testing led to resolution of infection in both cases.
is a rare cause of postneurosurgical nosocomial infection. Timely identification and early tailoring of antibiotic therapy based on susceptibility testing is the key to treatment. Every effort should be made to identify the source of infection and rectify it so that mortality, morbidity, and financial burden are reduced. Contact isolation and use of sterile gloves after each patient contact are effective in preventing its spread, as in most cases of nosocomial infection.
是人类医院感染的罕见原因。这些微生物能够产生生物膜，并且对常用抗生素具有内在抗性，导致高发病率和死亡率。非常罕见地可能引起神经外科手术后感染。
在本报告中，作者描述了两名患者，其感染使术后病程复杂化。两名患者在大致相同的时间、相似的环境下接受了开颅手术。分离出的微生物对大多数常用抗生素耐药，根据药敏试验结果定制的治疗使两例感染均得到解决。
是神经外科手术后医院感染的罕见原因。基于药敏试验及时识别并早期定制抗生素治疗是治疗的关键。应尽一切努力识别感染源并加以纠正，以降低死亡率、发病率和经济负担。与大多数医院感染病例一样，接触隔离以及在每次接触患者后使用无菌手套可有效预防其传播。
