术后脑脊液感染：两例报告及文献综述
Postoperative cerebrospinal fluid infection by : Two case reports and a literature review.
作者信息
Aldhafeeri Wafa Faisal, Habalrih Fehid, Al Omar Ali Hamad, Altamimi Atheer Abdulaziz, Alshahrani Marahib Saud, Abdullah Jamal, Alrabie Abdulkarim, Shah Syed
机构信息
Department of Neurosurgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Department of Neurosurgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
出版信息
Surg Neurol Int. 2022 Dec 30;13:602. doi: 10.25259/SNI_952_2022. eCollection 2022.
BACKGROUND
species are Gram-negative bacilli that are commonly found in moist environments, such as water and soil. They are opportunistic human pathogens, particularly found among immunocompromised patients, and are an infrequent cause of infection. The difficulty in correctly identifying and differentiating between species members using routine biochemical methods as well as their resistance to many classes of antibiotics poses a specific diagnostic and therapeutic challenge.
CASE DESCRIPTION
We report two cases from our neurosurgical unit complicated by postoperative cerebrospinal fluid infection caused by that posed a therapeutic challenge.
CONCLUSION
Our hypothesis is contaminated irrigation fluids might be a significant cause of post-operative meningitis and prolonged hospital stay.
背景
[该菌属]是革兰氏阴性杆菌，常见于潮湿环境，如水和土壤中。它们是人类机会致病菌，尤其在免疫功能低下的患者中出现，且是感染的罕见病因。使用常规生化方法正确鉴定和区分[该菌属]成员存在困难，以及它们对多种抗生素耐药，这构成了特定的诊断和治疗挑战。
病例描述
我们报告了来自我们神经外科病房的两例病例，这两例病例术后并发由[该菌属]引起的脑脊液感染，带来了治疗挑战。
结论
我们的假设是，受污染的冲洗液可能是术后脑膜炎和延长住院时间的重要原因。
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