2017 Infectious Diseases Society of America's Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis
2017 Infectious Diseases Society of America's Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis
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DOI：
10.1093/cid/ciw861
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发表时间：
2017-03-15
影响因子：
11.8
通讯作者：
Zunt, Joseph R.
中科院分区：
文献类型：
--
作者：
Tunkel, Allan R.;Hasbun, Rodrigo;Zunt, Joseph R.
美国传染病学会标准和实践准则委员会与伙伴组织合作，召集了一个由10名专家组成的小组，讨论与保健有关的脑室炎和脑膜炎。该小组代表了感染性疾病领域的儿科和成人专家，并代表了其成员护理与医疗保健相关的脑室炎和脑膜炎患者的其他组织（美国神经病学学会，美国神经外科医生协会和神经重症监护协会）。该小组根据文献综述、综述文章和书籍章节审查了文章，评估了证据并起草了建议。问题由小组成员审查和批准。根据在以下手术或情况后可能发生医疗保健相关性脑室炎和脑膜炎的特定患者人群，一些问题纳入了亚类：脑脊液分流、脑脊液引流、鞘内输液泵植入、脑深部电刺激硬件植入以及普通神经外科和头部创伤。建议之后是建议的力度和支持建议的证据的质量。然而，许多建议是基于专家意见，因为没有严格的临床数据。这些指南代表了一种实用和有用的方法，以帮助实践中的临床医生在这些具有挑战性的感染管理。
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.