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2017 Infectious Diseases Society of America s Clinical Practice Guidelines for
Healthcare-Associated Ventriculitis and Meningitis
#MMPMID28203777
Tunkel AR
; Hasbun R
; Bhimraj A
; Byers K
; Kaplan SL
; Scheld WM
; van de Beek D
; Bleck TP
; Garton HJL
; Zunt JR
Clin Infect Dis
2017[Mar]; 64
(6
): e34-e65
PMID28203777
show ga
The Infectious Diseases Society of America (IDSA) Standards and Practice
Guidelines Committee collaborated with partner organizations to convene a panel
of 10 experts on healthcare-associated ventriculitis and meningitis. The panel
represented pediatric and adult specialists in the field of infectious diseases
and represented other organizations whose members care for patients with
healthcare-associated ventriculitis and meningitis (American Academy of
Neurology, American Association of Neurological Surgeons, and Neurocritical Care
Society). The panel reviewed articles based on literature reviews, review
articles and book chapters, evaluated the evidence and drafted recommendations.
Questions were reviewed and approved by panel members. Subcategories were
included for some questions based on specific populations of patients who may
develop healthcare-associated ventriculitis and meningitis after the following
procedures or situations: cerebrospinal fluid shunts, cerebrospinal fluid drains,
implantation of intrathecal infusion pumps, implantation of deep brain
stimulation hardware, and general neurosurgery and head trauma. Recommendations
were followed by the strength of the recommendation and the quality of the
evidence supporting the recommendation. Many recommendations, however, were based
on expert opinion because rigorous clinical data are not available. These
guidelines represent a practical and useful approach to assist practicing
clinicians in the management of these challenging infections.