TABLE 1.
Characteristic | Data from reference no.:
|
||||||||
---|---|---|---|---|---|---|---|---|---|
11 | 8 | 9 | 13 | 2 | 4 | 6 | 6 | 10 | |
No. of patients | 5 | 1 | 1 | 1 | 1 | 2 | 1 | 1 | 1 |
Age (yr)/sex | NRa | 55/F | 14/Male | 41/F | 49/F | NR | 16/Male | 34/F | 28/Male |
Underlying condition | NR | MEN | CT | SH | MEN | NR | HEM | SH | CT |
CNS infection | M, V | M | M | M | M | NR | V | V | M |
Ventricular tubeb | NR | Yes (20) | Yes (42) | Yes (8) | NR | NR | Yes (16) | Yes (7) | NR |
MIC (μg/ml) | NR | 1 | 0.3 | 0.5 | NR | NR | ≤4 | ≤4 | NR |
Colistin methanesulfonate dosage, in mg/kg of body wt/day (route) | 2.5-5 (i.v.) | 5 (i.v.) | 5 (i.v.) | 5-10 (ith)e | 3.2 (ith)e | 4 (i.v.) + 20 (ith)e | 5-10 mg/12 h (iventr) | 5-10 mg/12 h (iventr) | 80 mg/8 h (i.v.) + 1.6-3.2 mg/d (iventr) |
Duration of colistin treatment, in days | NR | 15 | 30 | 22 | 17 | NR | 19 | 17 | 63 |
Antibiotic(s) coadministeredc | No | No | No | No | SAM + VAN (i.v.) | NR | SAM (3 days) + TOB (19 days) (i.v.) | TOB (17 days) (i.v.) | AMK + TEC (63 days) (i.v. + iventr) |
CSF sterilizationd (days) | NR | 4 | 5 | 1 | 6 | NR | 2 | 6 | NR |
Levels of colistin | No | Yes | Yes | Titers | No | No | Titers | Titers | No |
Infection outcome | 4 of 5 Cured | Cured | Cured | Cured | Cured | Cured | Cured | Cured | Cured |
NR, not reported; MEN, meningioma; CT, cranial trauma; SH, subarachnoid hemorrhage; HEM, hemangioblastoma; M, meningitis; V, ventriculitis; F, female; i.v., intravenous; ith, intrathecal; iventr, intraventricular.
In parentheses is the number of days from catheter insertion to diagnosis of infection.
SAM, ampicillin-sulbactam; VAN, vancomycin; TOB, tobramycin; AMK, amikacin; TEC, teicoplanin. The numbers in parentheses are the duration of treatment.
Time after initiation of colistin treatment.
Milligrams per day.