Yanık-Yalçın Tuğba, Yeşiler Fatma İrem, Şahintürk Helin, Gülşen Salih, Kurt-Azap Özlem, Zeyneloğlu Pınar
Department of Infectious Diseases and Clinical Microbiology, Başkent University School of Medicine, Ankara, Türkiye.
Department of Anesthesiology and Critical Care Unit, Başkent University School of Medicine, Ankara, Türkiye.
Infect Dis Clin Microbiol. 2024 Dec 19;6(4):328-333. doi: 10.36519/idcm.2024.384. eCollection 2024 Dec.
Ventriculoperitoneal shunts (VPSs) have been proven to be life-saving procedures, but their complications pose challenges, particularly in this era of rising antibiotic resistance. We report a critically ill case with VPS infection due to colistin-resistant that was treated with intraventricular tigecycline as salvage therapy without adverse events, resulting in microbiologic cure and clinical response. The use of intraventricular tigecycline in the treatment of colistin-resistant appears promising; however, appropriate dosage adjustments and evidence-based recommendations are needed.
脑室腹腔分流术(VPS)已被证明是挽救生命的手术,但它们的并发症带来了挑战,尤其是在抗生素耐药性不断上升的这个时代。我们报告了一例因对黏菌素耐药而发生VPS感染的危重症病例,该病例接受了脑室内替加环素作为挽救治疗,未出现不良事件,实现了微生物学治愈和临床缓解。脑室内使用替加环素治疗对黏菌素耐药的[此处原文可能有缺失内容]似乎很有前景;然而,需要进行适当的剂量调整并给出基于证据的建议。