Table 1.
Clinical Data, Treatment and Outcome of 19 Patients
| Case | Gender/Age | Underlying Condition | Neurosurgical Site Infection | GCS | SOFA | Interval (d) | Pathogen/Resistance Type | Adjunctive | Regional Antiboitics | Antimirobial Outcome | Subsequent Surgery | GOS at Discharge | Follow-Up(Month) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | f/48 | Supra/BT | SCA+EMP+MEN | 9 | 6 | 7 | Klebsiella Pneumoniae/MDR | Lumbar drainage | ITH /Coli | Cured | CP | 5 | 41 |
| 2 | m/48 | Supra/ICH | SCA+EMP+MEN+VEN+ABS | 8 | 5 | 65 | Acinetobacter baumannii/MDR | New EVD lavage | IVT/ Coli | Cured | VPS | 2 | 23 |
| 3 | m/32 | Supra/TBI | SCA+EMP+MEN+ABS | 6 | 6 | 310 | Klebsiella pneumoniae/XDR | EVD | ITH/Coli | Die/MSOF | |||
| 4 | f/52 | Supra/TBI | SCA+EMP+MEN+VEN+ABS | 5 | 6 | 40 | Acinetobacter baumannii/MDR | New EVD lavage | IVT/ Coli | Cured | VPS+CP | 2 | 47 |
| 5 | f/43 | Supra/TBI | SCA+EMP+MEN | 6 | 6 | 83 | Klebsiella pneumoniae/MDR | New EVD | IVT/ Coli | Cured | VPS | 3 | 51 |
| 6 | m/58 | Supra/TBI | SCA+EMP+MEN+VEN+ABS | 8 | 5 | 53 | Klebsiella pneumoniae/XDR | New EVD lavage | IVT/ Coli | Cured | CP | 3 | 21 |
| 7 | f/43 | Supra/TBI | SCA+VEN+ABS | 8 | 5 | 61 | Acinetobacter baumannii/MDR | New EVD | IVT/ Coli | Cured | VPS | 2 | 27 |
| 8 | f/71 | Infra/TBI | SCA+MEN | 6 | 4 | 46 | Acinetobacter baumannii/MDR | New EVD | IVT/ Coli | Cured | VPS | 2 | 21 |
| 9 | m/60 | Supra/TBI | SCA+EMP | 7 | 7 | 66 | Klebsiella pneumoniae/MDR | Lumbar drainage | Cured | C | 4 | 18 | |
| 10 | m/56 | Supra/TBI | SCA+EMP+MEN+ABS | 5 | 7 | 82 | Acinetobacter baumannii/MDR | Lumbar drainage | IVT/ Coli | Cured | CP | 2 | 52 |
| 11 | m/68 | Supra/TBI | SCA+EMP+MEN+VEN | 6 | 7 | 47 | Klebsiella pneumoniae/MDR | New EVD lavage | IVT/ Coli | Die /ICH | |||
| 12 | m/49 | Supra/TBI | SCA+EMP+MEN+ ABS + VEN | 5 | 8 | 37 | Acinetobacter baumannii/XDR | New EVD | IVT/ Coli | Cured | LPS+CP | 2 | 16 |
| 13 | m/23 | Supra/TBI | SCA+EMP+MEN+ ABS + VEN | 6 | 7 | 25 | Stenotrophomonas maltophilia/MDR | New EVD lavage | IVT/Tig | Cured | LPS | 3 | 33 |
| 14 | m/55 | Infra/ICH | MEN+VEN | 8 | 1 | 32 | Acinetobacter baumannii/MDR | Lumbar drainage | IVT/ Coli | Cured | CP | 3 | 19 |
| 15 | f/51 | Supra/BT | SCA+OST+EMP | 15 | 1 | 22 | Klebsiella pneumoniae/MDR | Cured | 3 | 21 | |||
| 16 | m56 | Infra/CM | SCA+OST+MEN+VEN | 10 | 2 | 19 | Klebsiella pneumoniae/MDR | Lumbar drainage Ommya | ITH/ Coli IVT/Coli | Cured | VPS | 4 | 26 |
| 17 | m/38 | Infra/BT | Repeated MEN | 15 | 1 | 91 | Pseudomonas aeruginosa/XDR | Lumbar drainage | ITH/Amik | Cured | 5 | 44 | |
| 18 | m/42 | Supra/BT | SCA+OST+EMP | 15 | 1 | 22 | Pseudomonas aeruginosa/MDR | Cured | 5 | 13 | |||
| 19 | m/41 | Infra/ICH | SCA+EMP+MEN+VEN+ABS | 7 | 6 | 34 | Acinetobacter baumannii/XDR | New EVD lavage | IVT/Coli | Cured | VPS | die/brain stem hemorrhage | |
Abbreviations: supra, supratentorial; infra, infratentorial; BT, brain tumor; TBI, traumatic brain injury; ICH, intracerebral hemorrhage; interval, time interval from establishment of SSIs to debridement surgery; VPS, ventricular peritoneal shunt; LPS, lumbar peritoneal shunt; lavage, ventricular lavage; SCA, scalp infection; emp, empyema; OST, osteotitis; ABS, abscess; Men, menigitis; Ven, ventriculartitis; Coli, colistin; Tig, Tigecycline; Amik, Amikacin; ITH, intrathecal; IVT, intraventricular.