Iatrogenic meningitis after lumbar puncture—a preventable health hazard

Pandian, Jeyaraj D.; Sarada, C; Radhakrishnan, V.V.; Kishore, Asha

doi:10.1016/j.jhin.2003.09.023

Cited by 44 publications

(34 citation statements)

References 11 publications

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“…Iatrogenic meningitis is well documented complication of diagnostic and therapeutic lumber puncture in India. 23 A. haemolyticus was isolated from an 86 year old male patient suffering from recurrent bronchiectasis. Only one strain belonging to DNA group 14 was encountered.…”

Section: Discussionmentioning

confidence: 99%

Nosocomial infections due to Acinetobacter species: Clinical findings, risk and prognostic factors

Prashanth¹,

Badrinath²

2006

Indian J Med Microbiol

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Purpose: Nosocomial infections caused by Acinetobacter species is of increasing concern in critically ill patients, and the risk factors for this infection are not well established. The present investigation was done to determine incidence of nosocomial Acinetobacter infections. Our study retrospectively attempts to find risk and prognostic factors for the nosocomial acquisition of Acinetobacter infection. Methods: The medical records of 43 patients with Acinetobacter infection during two-year period (Oct1998-Oct2000) were reviewed to find the factors involved in the nosocomial acquisition of Acinetobacter. Acinetobacter isolates that were obtained from these patients were phenotypically typed using carbon assimilation tests. Antimicrobial susceptibility testing results were noted from the microbiology records. Results: Acinetobacter baumannii accounted for 41.8% (n=18) of all the infections. By multivariate logistic regression analysis, only resistant antibiotype {(Ceftazidime-OR, 7.13 [95% CI, 1 to 46]; P= 0.044); (Cefotaxime-OR, 6.09 [CI, 0.87 to 30]; P = 0.045)} and mechanical ventilation (OR, 5.84 [CI, 0.83 to 31]; P = 0.05) were found to be potential independent risk factors for mortality. Overall mortality rate was 33%. Conclusions: Most of A. baumannii isolates were multidrug resistant in our set up and infections due to them were associated with high mortality. Prevention of Multiple drug resistant (MDR) A. baumannii infections was achieved after discontinuation of cefotaxime in ICU. Infection with resistant clones and mechanical ventilation were found to be potential independent risk factors for mortality.

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Section: Discussionmentioning

confidence: 99%

Nosocomial infections due to Acinetobacter species: Clinical findings, risk and prognostic factors

Prashanth¹,

Badrinath²

2006

Indian J Med Microbiol

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“…With varying incidence, these include Strepococcus, Staphylococcus, Enterococcus, and Acinetobacter. 1,6 Among these, viridans group streptococci have been found to be by far the most prevalent group of organisms isolated.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] Bacterial infections after spinal and epidural anesthesia are uncommon events, with a reported incidence of less than 1 for every 53,000 procedures. 4,5 As of 2006, 179 cases of iatrogenic bacterial meningitis (IBM) occurring as a result of neuraxial procedures have been reported in the literature.…”

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confidence: 99%

Iatrogenic bacterial meningitis: an unmasked threat

Barnwell

Ball

2012

CJEM

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Iatrogenic bacterial meningitis (IBM) is a rare but serious complication of neuraxial procedures, such as spinal and epidural anesthesia or lumbar puncture. We report a case of a 46-year-old female who presented to the emergency department with bacterial meningitis after spinal anesthesia. We review the existing literature outlining the pathogenesis, vector hypothesis, diagnosis, treatment, and prevention as they relate to IBM. We highlight the role of the emergency physician in the rapid diagnosis of this disease, and underscore the need for sterile technique when performing lumbar punctures. RÉ SUMÉLa mé ningite bacté rienne iatrogé nique (MBI) est une complication rare mais grave d'interventions centrales comme la rachianesthé sie, l'anesthé sie pé ridurale, et la ponction lombaire. Il sera ici question du cas d'une femme de 46 ans, qui s'est pré senté e au service d'urgence pour une mé ningite bacté rienne aprè s une rachianesthé sie. Nous passerons en revue la documentation actuelle et exposerons briè vement la pathogenè se de la MBI, les vecteurs possibles, le diagnostic, le traitement, et la pré vention de la maladie. Nous ferons ensuite ressortir le rô le de l'urgentologue dans la pose rapide du diagnostic et insisterons sur la né cessité de la sté rilité des techniques dans les ponctions lombaires.

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“…baumannii has caused meningitis secondary to invasive procedures (Siegman-Igra et al, 1993; Filka et al, 2000;Rodriguez et al, 2001;Pandian et al, 2004;Wroblewska et al, 2004), or following a head trauma (Venkataraman et al, 1999). Nosocomial (Kralinsky et al, 2000;Wang et al, 2005) and community-acquired (Chang et al, 2000;Lu et al, 2002) meningitis have been reviewed.…”

Section: Meningitismentioning

confidence: 99%

Safety Assessment of Transgenic Organisms, Volume 4

2010

Harmonisation of Regulatory Oversight in Biotechnology

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Iatrogenic meningitis after lumbar puncture—a preventable health hazard

Cited by 44 publications

References 11 publications

Nosocomial infections due to Acinetobacter species: Clinical findings, risk and prognostic factors

Nosocomial infections due to Acinetobacter species: Clinical findings, risk and prognostic factors

Iatrogenic bacterial meningitis: an unmasked threat

Safety Assessment of Transgenic Organisms, Volume 4

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