Resumo
La ventriculitis es una complicación neuroquirúrgica con una incidencia mundial de entre el 6 y el 15 %, y del 18 % en América Latina. Los factores de riesgo asociados a este tipo de infección se relacionan con el catéter per se, el proceso de preparación prequirúrgico, la colocación y la manipulación del sistema de ventriculostomía en el postoperatorio. Se ha encontrado que los microorganismos involucrados en este tipo de infección son grampositivos y gramnegativos de la familia Enterobacteriaceae. Dentro de los géneros más comunes se encuentra Providencia stuartii; sin embargo, es un microorganismo atípico en infecciones intrahospitalarias relacionadas con el sistema nervioso central (SNC). No obstante, se encontró en tres casos reportados, en los cuales hay infección del SNC: dos de estos se transformaron en meningitis, y el tercero, en un absceso. En este reporte se describe y se analiza un caso de ventriculitis por Providencia stuartii.
Agrawal A, Cincu R, Timothy J. Current concepts and approach to ventriculitis. Infect Dis Clin Pract. 2008;16:100-4.
Harrob JS, Sharan AD, Ratllif J et al. Impact of a standardized protocoland antibiotic-impregnated catheters on ventriculostomy infection rates incerebrovascular patients. Neurosurgery.
;67(1):187-91.
Beer R, Lackner P, Pfausler B, Schmutzhard E. Nosocomial ventriculitis and meningitis in neurocritical care patients. J Neurol. 2008;255(11):1617-24.
Camacho EF, Boszczowski I, Basso M, Jeng BCP. Infection rate and risk factors associated with infections relatedto external ventricular drain. Infection. 2011;39:47-51.
Tumbarello M, Citton R, Spanu T, Sanguinetti M, Romano L, Fadda G, Cauda R. ESBL-producing multidrug-resistant Providencia stuartii infections in a university hospital. J Antimicrob Chemother. 2004;53(2):277-82.
Tekiner A, Kocak Z, Tascioglu T et al. Nosocomial Providencia stuartii meningitis: a case report. J Neurol Res. 2011;1(1):37-9.
Hawley J, Burke AC, Brown EV, Gasink LB, et al. Providencia infections. Medscape Reference [internet]; 2012. Disponible en: http://emedicine.medscape.com/article/226541-overview.
Franco MC, Leonini S, Esposito G, Cerase A. Pyogenic abscess from Providencia stuartii mimicking necrotic tumour at perfusion-weighted imaging. Neurol Sci. 2011;32:919-23.
Oguz RS, Selin B-O, Erkin O et al. Meningitis due to Providencia stuartii. J Clin Microbiol. 2010;48(12):4667.
Tängdén T, Enblad P, Ullberg M, Sjölin J. Neurosurgical gram-negative bacillary ventriculitis and meningitis: a retrospective study evaluating the efficacy of intraventricular gentamicin therapy in 31 consecutive cases. Clin Infect Dis. 2011 Jun;52(11):1310-6.
This journal is registered under a Creative Commons Attribution 4.0 International Public License. Thus, this work may be reproduced, distributed, and publicly shared in digital format, as long as the names of the authors and Pontificia Universidad Javeriana are acknowledged. Others are allowed to quote, adapt, transform, auto-archive, republish, and create based on this material, for any purpose (even commercial ones), provided the authorship is duly acknowledged, a link to the original work is provided, and it is specified if changes have been made. Pontificia Universidad Javeriana does not hold the rights of published works and the authors are solely responsible for the contents of their works; they keep the moral, intellectual, privacy, and publicity rights.
Approving the intervention of the work (review, copy-editing, translation, layout) and the following outreach, are granted through an use license and not through an assignment of rights. This means the journal and Pontificia Universidad Javeriana cannot be held responsible for any ethical malpractice by the authors. As a consequence of the protection granted by the use license, the journal is not required to publish recantations or modify information already published, unless the errata stems from the editorial management process. Publishing contents in this journal does not generate royalties for contributors.

