[Post-traumatic bacterial meningitis].
10 patients with posttraumatic bacterial meningitis were treated in the Department of Infectious Diseases of the Jagielloniam University--Collegium Medicum during the period of 63 months. Traffic accidents were responsible for 80% of all cases of trauma. The most common place of injury was the base of anterior cranial fossa. Infecting agent was established in 8 cases. Gram-positive aerobic cocci (Streptococcus pneumoniae, Enterococcus faecalis, and Enterococcus spp.) were found in 4 patients, Gram-negative aerobic cocci (Neisseria meningitidis) in 2 patients, and Gram-negative aerobic rods (Acinetobacter baumanii, Pseudomonas aeruginosa, Klebsiella spp, Escherichia coli) in 3 patients. Streptococcus pneumoniae was still highly sensitive to penicillin, ampicillin and cefotaxime. Enterococcus faecalis and Enterococcus spp. were sensitive to vancomycin and teicoplanin. Neisseria meningitidis was sensitive to penicillin, cefotaxime, amoxicillin/clavulonate. Gram negative aerobic rods were sensitive to third-generation cephalosporins, carbapenems and aminoglycosides. Among 10 patients treated for posttraumatic bacterial meningitis 1 patient died and in 1 preserved vegetative state was diagnosed. In 4 patients severe or moderate disabilities developed, however 4 recovered completely. 6 patients after regression of the CNS infection were qualified to neurosurgical intervention. In 3 patients reconstructive operation of the basis of anterior cranial fossa with tissue glue Beriplast P. was done, the recovery was complete. 3 patients didn't agree to surgical operation, and we don't know what has happened with them. They have not come to the control visit.
Kluba-Wojewoda
U
U
Katedra i Klinka Chorób Zakaźnych Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie.
Krupa
M
M
Moskała
M
M
Garlicki
A
A
Krukowiecki
J
J
Bociaga-Jasik
M
M
Caban
J
J
Gościński
I
I
D000328:Adult; D003388:Cranial Fossa, Posterior / Q000293:injuries / Q000601:surgery; D004352:Drug Resistance, Microbial; D005500:Follow-Up Studies; D006088:Gram-Negative Aerobic Bacteria / Q000187:drug effects / Q000302:isolation & purification; D016489:Head Injuries, Closed / Q000150:complications*; D006801:Humans; D016920:Meningitis, Bacterial / Q000382:microbiology* / Q000628:therapy*; D008875:Middle Aged; D016896:Treatment Outcome