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Post-Neurosurgical Procedure Meningitis
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Post-Neurosurgical Procedure Meningitis

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Questions and Answers

Which organisms are commonly associated with post-neurosurgical procedure meningitis?

  • Coagulase-negative staphylococci, S. aureus, Enterobacteriaceae, Pseudomonas sp., and pneumococci (correct)
  • Haemophilus influenzae and Neisseria meningitidis
  • Streptococci and Cryptococcus neoformans
  • M. tuberculosis, HIV aseptic meningitis, and L. monocytogenes

    • What is the recommended treatment for severe PCN allergy in post-neurosurgical procedure meningitis?

  • Tobramycin and gentamicin
  • Liposomal amphotericin B and flucytosine
  • Aztreonam and ciprofloxacin (correct)
  • Vancomycin and cefipime

    • What is the recommended induction therapy for cryptococcal meningitis in immunocompromised hosts?

  • Tobramycin and gentamicin
  • Vancomycin + cefipime
  • Liposomal amphotericin B 3–4 mg/kg IV daily + flucytosine 25 mg/kg PO QID for at least 2 weeks (correct)
  • Fluconazole 200mg PO daily

    • What is the most common vector of cerebral abscess formation since 1980?

    <p>Hematogenous dissemination</p> Signup and view all the answers

    What is the most common origin of cerebral abscess in children?

    <p>Congenital cyanotic heart disease</p> Signup and view all the answers

    What is the estimated risk of abscess in patients with CCHD?

    <p>4-7%</p> Signup and view all the answers

    What percentage of patients with moderate to severe head injuries develop posttraumatic meningitis within 2 weeks of trauma?

    <p>Between 1% and 20%</p> Signup and view all the answers

    What is the most common type of organism found in posttraumatic meningitis?

    <p>Gram-positive cocci</p> Signup and view all the answers

    What is the recommended pneumococcal vaccine regimen for adults with CSF leak who have not received any pneumococcal vaccines?

    <p>1 dose of PCV13 followed by 1 dose of PPSV23</p> Signup and view all the answers

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