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Reduction in Clostridium difficile Infections among Neurosurgical Patients Associated with Discontinuation of Antimicrobial Prophylaxis for the Duration of External Ventricular Drain Placement

  • Timothy H. Dellit (a1), Jeannie D. Chan (a1), Charlotte Fulton (a1), Ronald F. Pergamit (a1), Elizabeth A. McNamara (a1), Louis J. Kim (a2), Richard G. Ellenbogen (a2) and John B. Lynch (a1)...

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Harborview Medical Center, 325 9th Avenue, Box 359778, Seattle, WA 98104 (thdellit@u.washington.edu)

References

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1. Loo, VG, Poirier, L, Miller, MA, et al. A predominantly clonal multi-institutional outbreak of Clostridium diffidle-associated diarrhea with high morbidity and mortality. N Engl J Med 2005;353(23)24422449.
2. McDonald, LC, Lessa, F, Sievert, D, et al. Vital signs: preventing Clostridium difficile infections. Morb Mortal Wkly Rep 2012;61(9):157162.
3. Valiquette, L, Cossette, B, Garant, M-P, Diab, H, Pépin, J. Impact of a reduction in the use of high-risk antibiotics on the course of an epidemic of Clostridium diffidle-associated disease caused by the hypervirulent NAP1/027 strain. Clin Infect Dis 2007;45(suppl 2):S112S121.
4. Prabhu, VC, Kaufman, HH, Voelker, JL, Aronoff, SC, Niewiadom-ska-Bugaj, M, Mascara, S, Hobbs, GR. Prophylactic antibiotics with intracranial pressure monitors and external ventricular drains: a review of the evidence. Surg Neurol 1999;52(3)226237.
5. Wong, GKC, Ip, M, Poon, WS, Mak, CWK, Ng, RYT. Antibiotics-impregnated ventricular catheter versus systemic antibiotics for prevention of nosocomial CSF and non-CSF infections: a prospective randomized clinical trial. J Neurol Neurosurg Psychiatry 2010;81(10)10641067.
6. Sonabend, AM, Korenfeld, Y, Crisman, C, Badjatia, N, Mayer, SA, Connolly, ES Jr. Prevention of ventriculostomy-related infections with prophylactic antibiotics and antibiotic-coated external ventricular drains: a systematic review. Neurosurgery 2011;68(4)9961005.
7. Pakyz, AL, MacDougall, C, Oinonen, M, Polk, RE. Trends in antibacterial use in US academic health centers: 2002 to 2006. Arch Intern Med 2008;168(20)22542260.
8. Zabramski, JM, Whiting, D, Darouiche, RO, et al. Efficacy of antimicrobial-impregnated eternal ventricular drain catheters: a prospective, randomized, controlled trial. J Neurosurg 2003;98(4):725730.
9. Muttaiyah, S, Ritchie, S, John, S, Mee, E, Roberts, S. Efficacy of antibiotic-impregnated external ventricular drain catheters. J Clin Neurosci 2010;17(3)296298.

Reduction in Clostridium difficile Infections among Neurosurgical Patients Associated with Discontinuation of Antimicrobial Prophylaxis for the Duration of External Ventricular Drain Placement

  • Timothy H. Dellit (a1), Jeannie D. Chan (a1), Charlotte Fulton (a1), Ronald F. Pergamit (a1), Elizabeth A. McNamara (a1), Louis J. Kim (a2), Richard G. Ellenbogen (a2) and John B. Lynch (a1)...

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