![]() Meningitis may not only be acquired in the community setting, but may be associated with a variety of invasive procedures or head trauma. Keywords: ventriculitis meningitis, cerebrospinal fluid shunts, cerebrospinal fluid drains, central nervous system infections Executive Summary These guidelines represent a practical and useful approach to assist practicing clinicians in the management of these challenging infections. Many recommendations, however, were based on expert opinion because rigorous clinical data are not available. Recommendations were followed by the strength of the recommendation and the quality of the evidence supporting the recommendation. 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. Questions were reviewed and approved by panel members. The panel reviewed articles based on literature reviews, review articles and book chapters, evaluated the evidence and drafted recommendations. ![]() 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 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.
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