1887

Abstract

Treatment of ventriculitis caused by enterococci can be challenging, and antibiotic options are limited. We describe a case of device-related ventriculitis caused by vancomycin-resistant , refractory to initial antibiotics. Our management approach included intrathecal daptomycin. There were no attributable adverse events, and the patient remained infection-free following ventriculo-peritoneal shunt insertion and cessation of antibiotics.

Funding
This study was supported by the:
  • nil (Award no funding received)
    • Principle Award Recipient: AnkushDhariwal
  • This is an open-access article distributed under the terms of the Creative Commons Attribution License. The Microbiology Society waived the open access fees for this article.
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/content/journal/acmi/10.1099/acmi.0.000230
2022-04-08
2024-04-25
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References

  1. Wang JS, Muzevich K, Edmond MB, Bearman G, Stevens MP. Central nervous system infections due to vancomycin-resistant enterococci: case series and review of the literature. Int J Infect Dis 2014; 25:26–31 [View Article]
    [Google Scholar]
  2. Elvy J, Porter D, Brown E. Treatment of external ventricular drain-associated ventriculitis caused by Enterococcus faecalis with intraventricular daptomycin. J Antimicrob Chemother 2008; 61:461–462 [View Article]
    [Google Scholar]
  3. Kahler RC, Holloway K. Successful use of intrathecal daptomycin to treat meningitis due to vancomycin-resistant Enterococcus faecium. Infect Dis Clin Pract 2012; 20:416–418 [View Article]
    [Google Scholar]
  4. Mueller SW, Kiser TH, Anderson TA, Neumann RT. Intraventricular daptomycin and intravenous linezolid for the treatment of external ventricular-drain-associated ventriculitis due to vancomycin-resistant Enterococcus faecium. Ann Pharmacother 2012; 46:e351722 [View Article] [PubMed]
    [Google Scholar]
  5. Randhawa A, Shah A, Day C. Compatibility of daptomycin with commercially available syringe filters. Hosp Pharm 2015; 50:007–008 [View Article]
    [Google Scholar]
  6. Sánchez-Rubio Ferrández J, Vázquez Sánchez R, Córdoba Díaz D, Córdoba Díaz M, Lozano Estevan MC et al. Stability of daptomycin reconstituted vials and infusion solutions. Eur J Hosp Pharm 2018; 25:107–110 [View Article]
    [Google Scholar]
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