Table II.
ID | EVD Day |
Organism | Medium | Quantity | Systemic Infection | Tmax (degrees Celsius) |
Sxms | CSF RBC (cells/ mm3) |
CSF WBC & Prior CSF WBC (cells/ mm3) |
CSF PMN (%) |
CSF Protein (mg/dL) |
CSF Glc (mg/dL) |
Serum Glc (mg/dL) |
Serum WBC (K/ul) |
Gram Stain |
# | Treatment |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
N1 | 5 | S.epi | Liquid | -- | No | 36.9 | No | 2,320 | 2 (2) | 88 | 13 | 96 | 131 | 15.3 | No | 1 | IV x 2 days |
N2 | 2 | P.acnes | Liquid | -- | No | 36.8 | No | 878 | 18 (N/A) | 6 | <10 | 89 | 89 | 11 | No | 1 | No |
N2* | 2 | MSSA | Liquid | -- | No | 36.6 | No | 132,000 | 2200 (N/A) | 92 | 361 | 77 | 149 | 12.2 | No | 1 | IV x 2 days |
N3 | 5 | Bacillus | Solid | Innum | No | 36.8 | HA/N | 150 | 0 (1) | N/A | <10 | 84 | 117 | 13.9 | GVR | 4 | IV x 14 days, IT x 5 days |
N4 | 1 | P.acnes | Liquid | -- | No | 37.4 | No | 3,103 | 145 (2860) | 77 | 45 | 76 | 90 | 12.1 | No | 1 | No |
N5 | 14 | S.epi | Solid | Many | No | 35.7 | No | 73 | 3 (3) | N/A | 33 | 65 | 115 | 10 | No | 1 | IV x 10 days |
N6 | 6 | Klebsiella | Solid | Mod | Klebsiella UTI | 37.6 | AMS | 737,000 | 1730 (305) | 79 | 733 | 111 | 174 | 14.9 | No | 3 | IV x 22 days |
N7 | 9 | S.epi | Liquid | -- | Enterobacter PNA | 38.8 | No | 390 | 1 (1) | N/A | 31 | 89 | 130 | 9.7 | No | 1 | No |
N8 | 5 | Serratia | Solid | Mod | No | 38.6 | No | 17,000 | 107 (11) | 83 | 159 | 48 | 105 | 11.8 | No | 19 | IV x 37 days |
M1 | 16 | Providencia Rettgeri | Solid | Mod | E.coli PNA | 39.4 | No | 533 | 411 (603) | 83 | 67 | 92 | 205 | 12.7 | Few GNR | 1 | IV x 10 days |
M2 | 4 | CN Staph | Solid | Rare | PNA | 38.3 | No | 196,000 | 940 (N/A) | 85 | 176 | 53 | 139 | 10.8 | Mod PMN | 2 | IV x 23 days |
M3 | 8 | P.acnes | Solid | -- | E.coli UTI | 39.4 | No | 9,125 | 295 (13) | 61 | 72 | 86 | 164 | 15.2 | No | 1 | No |
M4 | 6 | Acinetobacter | Solid | Mod | PNA (No organism) | 39.1 | No | N/A | 256 (44) | 77 | 60 | 78 | 120 | 24.7 | Mod GNR | 1 | IV x 22 days |
M5 | 14 | Propionibact | Liquid | -- | No | 38.4 | No | 1,397 | 6 (1,190) | 32 | 14 | 72 | 144 | 12.1 | No | 1 | IV x 21 days |
M6 | 13 | Enterobacter Aerogenes | Solid | Abund | No | 38.9 | HA/Nuch | 32,500 | 1,550 (N/A) | 92 | 233 | 64 | 172 | 8.1 | Abund PMN | 1 | IV x 16 days |
M7 | 18+1 | Klebsiella | Solid | -- | No | 39.3 | No | 744 | 13,700 (640) | 90 | 820 | < 2 | 106 | 9.6 | Abund PMN | 1 | IV x 14 days |
M8 | 9 | CN Staph | Solid | -- | No | 39.2 | No | 3,400 | 71 (26) | 82 | 117 | 40 | 177 | 10.7 | No | 1 | IV x 30 days |
M8* | 17 | GNR | Solid | Abund | CN Staph Ventriculitis | N/A | No | 328 | 117 (1975) | 76 | 126 | < 2 | 149 | 7.6 | Abund GNR | 1 | IV x 30 days |
ID=identification (values that begin with N are New York University patients and those that begin with M are Massachusetts General Hospital patients), *=patients with positive cultures that grew two distinct organisms (N2 had positive cultures on two separate admissions and M8 grew two different organisms at different times on the same admission), ICH=intracranial hemorrhage, SAH=subarachnoid hemorrhage, IVH=intraventricular hemorrhage, EVD=external ventricular drain, EVD Day= number of days EVD was in place (placement day = day 1; patients who were diagnosed with infection after EVD removal are denoted at EVD day of removal + number of days after removal), S.epi= Staphylococcus epidermidis, P.acnes= Propionibacterium acnes, MSSA=Methicillin Sensitive Staphylococcus aureus, CN staph=coagulase negative Staphylococcus, E.coli=Escherichia coli, Propionibact=Propionibacterium species, Quantity= not available for organisms that grew in liquid only (and in some cases no data on quantity was available for organisms that grew on solid media), Innum=innumerable bacteria, Mod=moderate, Abund=abundant, Systemic Infection=presence of systemic infection on day of positive culture, UTI=urinary tract infection, PNA=pneumonia, Tmax=maximum temperature in the 24 hours prior to the culture, Sxms=symptoms not attributed or possibly worse than would be attributed to primary pathology, HA=headache, N=nausea, AMS=altered mental status, Nuch=nuchal rigidity, CSF=cerebrospinal fluid, WBC=white blood cells, PMN=polymorphic neutrophils, N/A=not applicable (no results available), Glc=glucose, GVR=gram variable rods, GNR=gram negative rods, #=number of positive cultures with the same organism, IV=intravenous antibiotics, IT= intrathecal antibiotics