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Meningitis Following Spinal Anesthesia: 6 Cases in 5 Years

  • Lisa Rubin (a1) (a2), Hannah Sprecher (a3), Ahmed Kabaha (a1), Gabriel Weber (a4) (a5), Nava Teitler (a6) and Shmuel Rishpon (a1) (a2)...
Abstract

We describe 6 cases of meningitis after spinal anesthesia associated with a single anesthesiologist over the course of 5 years. The earliest case occurred in 2000, and the other 5 cases occurred over the course of 14 months in 2004-2005. The case identified in 2000 was culture-positive for Streptococcus salivarius. The other 5 cases were culture-negative for this organism but in 2 cases, the cerebrospinal fluid was found to be positive for bacterial DNA that was identified as belonging to S. salivarius by sequencing of the 16S rRNA gene. The association with a single anesthesiologist and a single hospital during a relatively short interval, however, lead us to believe that these occurrences are part of a series associated with possible violations of aseptic technique.

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Corresponding author
Deputy District Health Officer, Haifa District Health Office, Palyam 15 A, Haifa, Israel (lisa.p.rubin@gmail.com)
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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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