SOLUCION DEL PROBLEMA

1: Enferm Infecc Microbiol Clin. 2007 Feb;25(2):164.
[Pneumococcal meningitis following spinal anesthesia]
[Article in Spanish]
Blasco-Navalpotro MA, Ramos-Luengo A, Rodríguez-Roldán JM, Heras-La Calle G.
PMID: 17288919 [PubMed - indexed for MEDLINE]


2: Reg Anesth Pain Med. 2005 Mar-Apr;30(2):210-1.
Bacterial meningitis ten days after spinal anesthesia.
Bussink M, Gramke HF, Van Kleef M, Marcus M.
PMID: 15765468 [PubMed - indexed for MEDLINE]


3: J Hosp Infect. 2003 Apr;53(4):313-4.
Iatrogenic Streptococcus salivarius meningitis after spinal anaesthesia: need for
strict application of standard precautions.
Couzigou C, Vuong TK, Botherel AH, Aggoune M, Astagneau P.
PMID: 12660130 [PubMed - indexed for MEDLINE]


4: Eur J Clin Microbiol Infect Dis. 2002 Jan;21(1):43-5.
Three cases of bacterial meningitis after spinal and epidural anesthesia.
Trautmann M, Lepper PM, Schmitz FJ.
Division of Hospital Hygiene, Institute of Microbiology and Immunology,
University Hospital Ulm, Germany. matthias.trautmann@medizin.uni-ulm.de
During a 3-year period, three cases of bacterial meningitis developing after
spinal or epidural anesthesia were observed at one hospital in Germany. The
causative organisms were Streptococcus salivarius (2 cases) and Staphylococcus
aureus (1 case). In the first two cases, contamination of the needle by
oropharyngeal flora of the anesthesiological team was likely but remained
unproven. In the third case, a nasal swab obtained from the operating
anesthesiologist yielded a Staphylococcus aureus strain whose genotypic profile
was identical to that of the patient's strain. Infection control procedures for
spinal anesthesia are discussed.
PMID: 11913500 [PubMed - indexed for MEDLINE]


5: Rev Esp Anestesiol Reanim. 2000 May;47(5):226-7.
[Differential diagnosis of postoperative meningitis after subarachnoid
anesthesia]
[Article in Spanish]
Fernández-Rosado B, Molins N, Bonome C, López S, Rama-Maceiras P, Pose-Cambeiro
PMID: 10902456 [PubMed - indexed for MEDLINE]