Pseudomonas aeruginosa nosocomial meningitis in neurosurgical patients with intraventricular catheters: Therapeutic approach and review of the literature

Abstract BACKGROUND Evolving requirements for patient and physician safety and rapid regulatory changes have stimulated interest in neurosurgical telemedicine in the COVID-19 era. OBJECTIVE To conduct a systematic literature review investigating treatment of neurosurgical patients via telemedicine, and to evaluate barriers and challenges. Additionally, we review recent regulatory changes that affect telemedicine in neurosurgery, and our institution's initial experience. METHODS A systematic review was performed including all studies investigating success regarding treatment of neurosurgical patients via telemedicine. We reviewed our department's outpatient clinic billing records after telemedicine was implemented from 3/23/2020 to 4/6/2020 and reviewed modifier 95 inclusion to determine the number of face-to-face and telemedicine visits, as well as breakdown of weekly telemedicine clinic visits by subspecialty. RESULTS A total of 52 studies (25 prospective and 27 retrospective) with 45 801 patients were analyzed. A total of 13 studies were conducted in the United States and 39 in foreign countries. Patient management was successful via telemedicine in 99.6% of cases. Telemedicine visits failed in 162 cases, 81.5% of which were due to technology failure, and 18.5% of which were due to patients requiring further face-to-face evaluation or treatment. A total of 16 studies compared telemedicine encounters to alternative patient encounter mediums; telemedicine was equivalent or superior in 15 studies. From 3/23/2020 to 4/6/2020, our department had 122 telemedicine visits (65.9%) and 63 face-to-face visits (34.1%). About 94.3% of telemedicine visits were billed using face-to-face procedural codes. CONCLUSION Neurosurgical telemedicine encounters appear promising in resource-scarce times, such as during global pandemics.

Download Full-text

Fatal respiratory infection due to ST308 VIM-1-producing Pseudomonas aeruginosa in a lung transplant recipient: case report and review of the literature

BMC Infectious Diseases ◽

10.1186/s12879-020-05338-3 ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

M. Carugati ◽

◽

A. Piazza ◽

A. M. Peri ◽

L. Cariani ◽

...

Keyword(s):

Pseudomonas Aeruginosa ◽

Case Report ◽

Transplant Recipient ◽

Respiratory Infection ◽

Lung Transplant ◽

Lung Transplant Recipient ◽

Review Of The Literature

Download Full-text

Ceftolozane-tazobactam and Fosfomycin for rescue treatment of otogenous meningitis caused by XDR Pseudomonas aeruginosa: Case report and review of the literature

IDCases ◽

10.1016/j.idcr.2018.e00451 ◽

2018 ◽

Vol 14 ◽

pp. e00451 ◽

Cited By ~ 10

Author(s):

Antonella Frattari ◽

Vincenzo Savini ◽

Ennio Polilli ◽

Donatella Cibelli ◽

Silvia Talamazzi ◽

...

Keyword(s):

Pseudomonas Aeruginosa ◽

Case Report ◽

Review Of The Literature ◽

Rescue Treatment

Download Full-text

Eugenia uniflora L.: potential uses as a bioactive plant

Arquivos do Instituto Biológico ◽

10.1590/1808-1657000752017 ◽

2018 ◽

Vol 85 (0) ◽

Cited By ~ 1

Author(s):

Gabriela Silva Moura ◽

Ivan Júnior de Oliveira ◽

Lisandro Tomas da Silva Bonome ◽

Gilmar Franzener

Keyword(s):

Escherichia Coli ◽

Staphylococcus Aureus ◽

Pseudomonas Aeruginosa ◽

Antibacterial Activity ◽

Natural Products ◽

Total Phenolics ◽

Antioxidant Compounds ◽

Review Of The Literature ◽

Bioactive Substances ◽

Eugenia Uniflora

ABSTRACT: Natural products extracted from plants have always played an important role in the discovery of bioactive substances. This work carried out a review of the literature on the bioactive activities of Eugenia uniflora L. (Surinam cherries), as a potential plant in the various uses, be it medicinal, antimicrobial, antioxidant, insecticide and protective. In the literature, studies were found to confirm the antibacterial activity of E. uniflora leaves extract on Streptococcus, Staphylococcus aureus, Pseudomonas aeruginosa and Escherichia coli. The presence of antioxidant compounds as total phenolics, such as anthocyanins and flavonoids, induction in the protection of plants by phytoalexins, as well as insecticidal and anthelmintic effects by the use of the extract of the E. uniflora tree. Although these different potential biotics of E. uniflora have already been reported, further studies are still needed on the use of natural products extracted from E. uniflora for employment for different purposes.

Download Full-text