title: 2017 Infectious Diseases Society of America's Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis.
abstract: 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.
authors.affiliation: Department of Internal Medicine-Infectious Diseases, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
authors.forename: Allan R
authors.initials: AR
authors.lastname: Tunkel
authors.affiliation: Department of Infectious Diseases, the University of Texas Health Science Center at Houston, Texas.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Hasbun
authors.affiliation: Department of Infectious Diseases, Cleveland Clinic, Ohio.
authors.forename: Adarsh
authors.initials: A
authors.lastname: Bhimraj
authors.affiliation: Division of Infectious Diseases, University of Pittsburgh Medical Center, Pennsylvania.
authors.forename: Karin
authors.initials: K
authors.lastname: Byers
authors.affiliation: Department of Pediatrics-Section of Infectious Diseases, Baylor College of Medicine, Houston, Texas.
authors.forename: Sheldon L
authors.initials: SL
authors.lastname: Kaplan
authors.affiliation: Division of Infectious Diseases, University of Virginia, Charlottesville.
authors.forename: W Michael
authors.initials: WM
authors.lastname: Scheld
authors.affiliation: Department of Neurology, Academic Medical Center, Amsterdam Neuroscience, University of Amsterdam, The Netherlands.
authors.forename: Diederik
authors.initials: D
authors.lastname: van de Beek
authors.affiliation: Departments of Neurological Sciences, Neurosurgery, Anesthesiology, and Medicine, Rush Medical College, Chicago, Illinois.
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Bleck
authors.affiliation: Department of Neurological Surgery, University of Michigan, Ann Arbor; and.
authors.forename: Hugh J L
authors.initials: HJL
authors.lastname: Garton
authors.affiliation: Departments of Neurology, Global Health, Medicine-Infectious Diseases, and Epidemiology, University of Washington, Seattle.
authors.forename: Joseph R
authors.initials: JR
authors.lastname: Zunt
keywords: central nervous system infections.; cerebrospinal fluid drains; cerebrospinal fluid shunts; ventriculitis; meningitis