Postcraniofacial trauma multidrug resistant Acinetobacter Baumannii infection treated with intravenous colistin: A rare complication

• Main Authors: Sanjay Rastogi, Anurag Gupta, Raja S Narne, Mahendra P Reddy, Mansi Bansal, Sanjeev Kumar
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2013-01-01
• Series: Indian Journal of Dental Research
• Subjects: Acinetobacter baumannii; colistin; craniomaxillofacial trauma; post-traumatic meningitis
• Online Access: http://www.ijdr.in/article.asp?issn=0970-9290;year=2013;volume=24;issue=6;spage=759;epage=761;aulast=Rastogi
• ISSN: 0970-9290; 1998-3603

Nosocomial meningitis is a rare complication of combined craniofacial and neurosurgical procedures. The increase in meningitis caused by multidrug-resistant (MDR) Acinetobacter baumannii has resulted in a significant reduction in available treatment options. We report a case of 52-year-old man who sustained a complex craniofacial trauma, who developed nosocomial MDR infection caused by A. baumannii in the wound. Patient was at significant risk of developing meningitis but, he was successfully treated with intravenous colistin. To conclude, patients with complex maxillofacial trauma are at high risk of MDR A. baumannii meningitis, especially in craniofacial intensive care units, and adequate infection control measures with proper institution of antibiotics, should be used to reduce the risk of this infection