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- W2003156145 abstract "Because external ventricular drains (EVDs) provide access to cerebrospinal fluid (CSF), there is potential for EVD associated acute bacterial meningitis (EVD-AM). Post-craniotomy, in patients with EVDs, one or more CSF abnormalities are commonly present making the diagnosis of EVD-AM problematic. EVD-AM was defined as elevated CSF lactic acid (>6 nmol/L), plus CSF marked pleocytosis (>50 WBCs/mm3), plus a positive Gram stain (same morphology as CSF isolate), plus a positive CSF culture of neuropathogen (same morphology as Gram stained organism). We reviewed 22 adults with EVDs to determine if our four CSF parameters combined accurately identified EVD-AM. No single or combination of <4 CSF parameters correctly diagnosed or ruled out EVD-AM. Combined our four CSF parameters clearly differentiated EVD-AM from one case of pseudomeningitis due to E. cloacae. We conclude that our four CSF criteria combined are useful in diagnosing EVD-AM in adults." @default.
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- W2003156145 date "2015-03-01" @default.
- W2003156145 modified "2023-09-27" @default.
- W2003156145 title "Post craniotomy extra-ventricular drain (EVD) associated nosocomial meningitis: CSF diagnostic criteria" @default.
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- W2003156145 doi "https://doi.org/10.1016/j.hrtlng.2015.01.003" @default.
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