Coagulase-negative staphylococci are associated to the mild inflammatory pattern of healthcare-associated meningitis : a retrospective study
The epidemiology of healthcare-associated meningitis (HAM) is dominated by commensal bacteria from the skin, as coagulase-negative staphylococci (CoNS). We hypothesized that the pauci-symptomatic and mild inflammatory patterns of HAM are related to the low pathogenic state of CoNS. Our aim was to describe clinical and biological features of CoNS HAM, compared to other HAM. All consecutive patients with HAM admitted in our hospital were retrospectively included from 2007 to 2014. HAM due to CoNS were compared to HAM caused by other bacteria (controls) for clinical and laboratory patterns. Seventy-one cases of HAM were included, comprising 18 CoNS and 53 controls. Patients were not different in terms of baseline characteristics. CoNS HAM occurred later after the last surgery than controls (17 vs. 12 days, p = 0.029) and had higher Glasgow Coma Scale (GCS) score (14 vs. 13, p = 0.038). Cerebrospinal fluid (CSF) analysis revealed a lower pleocytosis (25 vs. 1340/mm3, p < 0.001), a higher glucose level (3.75 vs. 0.8 mmol/L, p < 0.001), and a lower protein level (744 vs. 1751 mg/L, p < 0.001) in the CoNS group than in the control group, respectively. HAM due to CoNS was significantly less symptomatic and less inflammatory than HAM due to other bacteria.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2018 |
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| Erschienen: |
2018 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:37 |
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| Enthalten in: |
European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology - 37(2018), 4 vom: 20. Apr., Seite 755-763 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Couffin, S [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 24.08.2018 Date Revised 13.11.2018 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s10096-017-3171-9 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM280151314 |
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| 245 | 1 | 0 | |a Coagulase-negative staphylococci are associated to the mild inflammatory pattern of healthcare-associated meningitis |b a retrospective study |
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| 500 | |a Date Completed 24.08.2018 | ||
| 500 | |a Date Revised 13.11.2018 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a The epidemiology of healthcare-associated meningitis (HAM) is dominated by commensal bacteria from the skin, as coagulase-negative staphylococci (CoNS). We hypothesized that the pauci-symptomatic and mild inflammatory patterns of HAM are related to the low pathogenic state of CoNS. Our aim was to describe clinical and biological features of CoNS HAM, compared to other HAM. All consecutive patients with HAM admitted in our hospital were retrospectively included from 2007 to 2014. HAM due to CoNS were compared to HAM caused by other bacteria (controls) for clinical and laboratory patterns. Seventy-one cases of HAM were included, comprising 18 CoNS and 53 controls. Patients were not different in terms of baseline characteristics. CoNS HAM occurred later after the last surgery than controls (17 vs. 12 days, p = 0.029) and had higher Glasgow Coma Scale (GCS) score (14 vs. 13, p = 0.038). Cerebrospinal fluid (CSF) analysis revealed a lower pleocytosis (25 vs. 1340/mm3, p < 0.001), a higher glucose level (3.75 vs. 0.8 mmol/L, p < 0.001), and a lower protein level (744 vs. 1751 mg/L, p < 0.001) in the CoNS group than in the control group, respectively. HAM due to CoNS was significantly less symptomatic and less inflammatory than HAM due to other bacteria | ||
| 650 | 4 | |a Journal Article | |
| 650 | 7 | |a Coagulase |2 NLM | |
| 700 | 1 | |a Lobo, D |e verfasserin |4 aut | |
| 700 | 1 | |a Cook, F |e verfasserin |4 aut | |
| 700 | 1 | |a Jost, P H |e verfasserin |4 aut | |
| 700 | 1 | |a Bitot, V |e verfasserin |4 aut | |
| 700 | 1 | |a Birnbaum, R |e verfasserin |4 aut | |
| 700 | 1 | |a Nebbad, B |e verfasserin |4 aut | |
| 700 | 1 | |a Aït-Mamar, B |e verfasserin |4 aut | |
| 700 | 1 | |a Lahiani, W |e verfasserin |4 aut | |
| 700 | 1 | |a Martin, M |e verfasserin |4 aut | |
| 700 | 1 | |a Dhonneur, G |e verfasserin |4 aut | |
| 700 | 1 | |a Mounier, R |e verfasserin |4 aut | |
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