Table 1.
Reference | (10) | (11) | (11) | This study |
---|---|---|---|---|
Age | 25 | 48 | 52 | 55 |
Sex | male | male | male | male |
Underlying disease(s) | Pilocytic astrocytom hydrocephalus | Vertebral trauma | Lumbar disk herniation | Intracerebellar hemorrhage, CSF, hydrocephalus |
Foreign body | EVD | Spinal instrumentation | None | EVD |
Days from admission to diagnosis | 11 | 10 | 9 | 26 |
Antimicrobial susceptibilities AB Colimycin; | Susceptible to TGC (MIC = 3.2 μg/mL); MDR | Susceptible to netilmicin, TGC(MIC = 0.38 μg/mL); MDR | Susceptible to netilmicin, TGC(MIC = 0.38 μg/mL); MDR | Susceptible to TGC(MIC = 16 μg/mL); XDR |
Current antimicrobial regimens | TGC and colimycin and meropenem | TGC, Netilmicin, and meropenem | TGC, Netilmicin | TGC, cefoperazone-sulbactam, amikacin |
IV/CVI/IVT, tigecycline | IV, 50 mg/q12h | IV, 50 mg/q12h | IV, 50 mg/q12 | IV, 100 mg/q12h CVI, 10 mg/q12h IVT, 2 mg/q12h |
Co-administered antibiotics | Colimycin IV, 9MIU/q24 | Netilmicin IV, (400 mg/q24h) Meropenem IV, (2g/q8h) | Netilmicin IV, (400 mg/q24h) Meropenem IV, (2g/q8h) | Cefoperazone-sulbactam IV, (2g/q8h) |
Days to CSF sterilization | 23 | 21 | 21 | 12 |
Toxicity | None | None | None | None |
Infection outcome | Cured | Cured | Cured | Cured |
Survival | Yes | Yes | Yes | Yes |
CSF, cerebrospinal fluid; MIC, minimum inhibitory concentration; EVD, external ventricular drain; MDR, multidrug resistant; XDR, extensively drug-resistant; TGC, tigecycline; q8h, every 8 h; q12h, every 12 h; q24h, every 24 h; IV, intravenous; CVI, continuous ventricular irrigation; IVT, intraventricular.