神经外科术后泛耐药鲍曼不动杆菌颅内感染患儿一例  

Post-neurosurgical intracranial infections caused by extensively drug-resistant Acinetobacter baumannii in a pediatric patient:a case report

作　　者：邓小鹿[1] 赵杰[2] 李健 李春辉[3] 何剑[1] 司道林 王霞[1] Xiaolu Deng;Jie Zhao;Jian Li;Chunhui Li;Jian He;Daolin Si;Xia Wang(Department of Pediatrics,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Neurosurgery,Xiangya Hospital,Central South University,Changsha 410008,China;Infection Control Center,Xiangya Hospital,Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院儿科,长沙410008 [2]中南大学湘雅医院神经外科,长沙410008 [3]中南大学湘雅医院感染控制中心,长沙410008

出　　处：《中华重症医学电子杂志》2024年第2期205-208,共4页Chinese Journal Of Critical Care & Intensive Care Medicine(Electronic Edition)

摘　　要：医疗相关脑室炎和脑膜炎(HCAVM)与神经外科手术密切相关。HCAVM最常由革兰氏阳性菌引起,但近年革兰氏阴性菌感染呈现上升趋势。广泛耐药(XDR)革兰氏阴性菌所致的颅内感染可导致严重的后遗症,病死率高。本文报道1例神经外科术后XDR鲍曼不动杆菌脑室炎患者,通过多学科合作治愈,以期为类似疾病的成功诊治提供经验。Healthcare-Associated Ventriculitis and Meningitis(HCAVM)are closely related to neurosurgery.HCAVM is most commonly caused by gram-positive bacteria,but gram-negative infections have been on the rise in recent years.Intracranial infection caused by extensively drug-resistant(XDR)gram-negative bacteria leads to serious sequelae and high mortality.We reported that a pediatric patient with XDR Acinetobacter baumannii ventriculitis after neurosurgery was cured through multidisciplinary cooperation,in order to provide experience for the successful diagnosis and treatment of similar diseases.

关 键 词：颅内感染 泛耐药 鲍曼不动杆菌 多黏菌素 

分 类 号：R651.15[医药卫生—外科学]