医学
菌血症
脑膜炎
开颅术
抗菌剂
重症监护医学
细菌性脑膜炎
麻醉
抗生素
外科
微生物学
生物
作者
Diederik van de Beek,James M. Drake,Allan R. Tunkel
标识
DOI:10.1056/nejmra0804573
摘要
Nosocomial bacterial meningitis is most often related to either complicated head trauma or invasive procedures, such as craniotomy, placement of ventricular catheters, intrathecal infusion of medications, or spinal anesthesia. In addition, metastatic infection from hospital-acquired bacteremia occasionally leads to meningitis. The conditions are associated with different pathogenetic mechanisms and a different spectrum of microorganisms, and therefore the choice of empirical antimicrobial therapy will vary according to the condition.
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