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letter
. 2005 Sep;43(9):4916–4917. doi: 10.1128/JCM.43.9.4916-4917.2005

TABLE 1.

Reported cases of multidrug-resistant A. baumannii CNS infections treated with colistin

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
a

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.

b

In parentheses is the number of days from catheter insertion to diagnosis of infection.

c

SAM, ampicillin-sulbactam; VAN, vancomycin; TOB, tobramycin; AMK, amikacin; TEC, teicoplanin. The numbers in parentheses are the duration of treatment.

d

Time after initiation of colistin treatment.

e

Milligrams per day.