title: Post-neurosurgical meningitis caused by acinetobacter baumannii: case series and review of the literature.
abstract: BACKGROUND
  Acinetobacter baumannii (A. baumannii), a gram-negative bacterium, has now become an important hospital pathogen, which causes various serious nosocomial infections worldwide. Bacterial meningitis is a common complication after neurosurgical operation, and the percentage of A. baumannii meningitis is growing, especially the one resisting multiple drugs.
  
  
  METHODS
  We retrospectively reviewed the cases with postoperative A. baumannii meningitis (PABM) in the First Affiliated Hospital of Wenzhou Medical University from January 2013 to October 2014. And we retrieved the PubMed for cases with PABM and reviewed them.
  
  
  RESULTS
  Five cases were included in our retrospective study. Two cases with sensitive A. baumannii and one with multidrug-resistant acinetobacter baumannii (MRAB) were cured, and other two with MRAB died.
  
  
  CONCLUSIONS
  Intraventricular or intrathecal colistin could be a treatment to the MRAB.
authors.affiliation: Department of Infectious Diseases, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou Key Laboratory of Hepatology, Hepatologic Institute of Wenzhou Medical University Wenzhou, Zhejiang, P. R. China.
authors.forename: Shunlan
authors.initials: S
authors.lastname: Ni
authors.affiliation: Department of Infectious Diseases, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou Key Laboratory of Hepatology, Hepatologic Institute of Wenzhou Medical University Wenzhou, Zhejiang, P. R. China.
authors.forename: Shanshan
authors.initials: S
authors.lastname: Li
authors.affiliation: Department of Infectious Diseases, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou Key Laboratory of Hepatology, Hepatologic Institute of Wenzhou Medical University Wenzhou, Zhejiang, P. R. China.
authors.forename: Naibin
authors.initials: N
authors.lastname: Yang
authors.affiliation: Department of Infectious Diseases, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou Key Laboratory of Hepatology, Hepatologic Institute of Wenzhou Medical University Wenzhou, Zhejiang, P. R. China.
authors.forename: Sainan
authors.initials: S
authors.lastname: Zhang
authors.affiliation: Department of Infectious Diseases, Ruian City People's Hospital, The Third Affiliated Hospital of Wenzhou Medical University Wenzhou, Zhejiang, P. R. China.
authors.forename: Danping
authors.initials: D
authors.lastname: Hu
authors.affiliation: Department of Neurology, The First Affiliated Hospital of Wenzhou Medical University Wenzhou, Zhejiang, P. R. China.
authors.forename: Qian
authors.initials: Q
authors.lastname: Li
authors.affiliation: Department of Infectious Diseases, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou Key Laboratory of Hepatology, Hepatologic Institute of Wenzhou Medical University Wenzhou, Zhejiang, P. R. China.
authors.forename: Mingqin
authors.initials: M
authors.lastname: Lu
keywords: Acinetobacter baumannii; colistin; postoperative meningitis