Antibiotics for brain abscesses in people with cyanotic congenital heart disease
- PMID: 23543532
- PMCID: PMC7197203
- DOI: 10.1002/14651858.CD004469.pub3
Antibiotics for brain abscesses in people with cyanotic congenital heart disease
Abstract
Background: Brain abscess is a focal, intracerebral infection that begins as a localized area of brain infection and develops into a collection of pus surrounded by a well-vascularized capsule. People with cyanotic congenital heart disease are at risk of developing brain abscess.
Objectives: To evaluate the effectiveness of antibiotic regimens for treating brain abscess in people with cyanotic congenital heart disease.
Search methods: We updated the searches of the Cochrane Central Register of Controlled Trials (CENTRAL) on The Cochrane Library Issue 12 of 12, December 2012, MEDLINE Ovid (1946 to December Week 4 2012), EMBASE Ovid (1980 to 2013 Week 01) and LILACS (1980 to 9 January 2013) on 9 January 2013. No language or publication restrictions were applied.
Selection criteria: Randomized controlled trials that reported clinically meaningful outcomes and presented results on an intention to treat basis, irrespective of blinding, publication status, or language.
Data collection and analysis: Data were to be extracted, unblinded, by the two reviewers independently.
Main results: No studies meeting the inclusion criteria were identified.
Authors' conclusions: There are no randomized controlled trials about the effectiveness of antibiotic regimens for treating people with cyanotic congenital heart disease who developed a brain abscess. Currently, the antibiotic regimens used are based on previous retrospective studies and clinical experience. There is a need for a well designed multicentre randomized controlled trial to evaluate the effects of different antibiotic regimens.
Conflict of interest statement
None known.
Update of
-
Antibiotics for brain abscesses in people with cyanotic congenital heart disease.Cochrane Database Syst Rev. 2007 Jul 18;(3):CD004469. doi: 10.1002/14651858.CD004469.pub2. Cochrane Database Syst Rev. 2007. Update in: Cochrane Database Syst Rev. 2013 Mar 28;(3):CD004469. doi: 10.1002/14651858.CD004469.pub3. PMID: 17636761 Updated.
References
References to studies excluded from this review
Abdullah 2001 {published data only}
-
- Abdullah J. Clinical presentation and outcome of brain abscess over the last 6 years in a community based neurosurgical service. Journal of Clinical Neuroscience 2001;8(1):18-22. - PubMed
British Society 2000 {published data only}
-
- Infection in Neurosurgery Working Party of the British Society for Antimicrobial Chemotherapy. The rational use of antibiotics in the treatment of brain abscess. British Journal of Neurosurgery 2000;14(6):525-30. - PubMed
Gonzalez‐Garcia 1999 {published data only}
-
- Gonzalez-Garcia J, Gelabert M, Pravos AG, Villa JMF. Intracranial collections of pus: A review of 100 cases. Revista de neurologia 1999;29:416-24. - PubMed
Hirsch 1983 {published data only}
-
- Hirsch JF, Roux FX, Sainte-Rose C, Renier D, Pierre-Kahn A. Brain abscess in childhood. A study of 34 cases treated by puncture and antibiotics. Childs Brain 1983;10(4):251-65. - PubMed
Jansson 2004 {published data only}
-
- Jansson AK, Enblad P, Sjolin J. Efficacy and safety of cefotaxime in combination with metronidazole for empirical treatment of brain abscess in clinical practice: a retrospective study of 66 consecutive cases. European Journal of Clinical Microbiology & Infectious Diseases 2004;23:7-14. - PubMed
Lu 2002 {published data only}
-
- Lu CH, Chang WN, Lin YC, Tsai NW, Liliang PC, Su TM, Rau CS, Tsai YD, Liang CL, Chang CJ, Lee PY, Chang HW, Wu JJ. Bacterial brain abscess: microbiological features, epidemiological trends and therapeutic outcomes. Quarterly Journal of Medicine 2002;95:501-9. - PubMed
Mampalum 1988 {published data only}
-
- Mampalum TJ, Resenblum ML. Trends in the management of bacterial brain abscesses: a review of 102 cases over 17 years. Neurosurgery 1988;23(4):451-8. - PubMed
Seneviratne Rde 2003 {published data only}
-
- Senevirantne Rde S, Navvasivayam P, Perera S, Wickremasinghe RS. Microbiology of cerebral abscess at the neurosurgical unit of the National Hospital of Sri Lanka. Ceylon Medical Journal 2003;48(1):14-6. - PubMed
Yang 1981 {published data only}
-
- Yang SY. Brain abscess: a review of 400 cases. Journal of Neurosurgery 1981;55:794-9. - PubMed
Additional references
Brewer 1975
-
- Brewer NS, MacCarrty CS, Wellman WE. Brain abscess: a review of recent experience. Annals of Internal Medicine 1975;82:571-6. - PubMed
Deeks 1998
-
- Deeks JJ, Bradburn MJ, Bilker W, Localio R, Berlin J. Much ado about nothing: meta-analysis for rare events. In: Sixth International Cochrane Colloquium; 1998 Oct 22-26; Baltimore, MD, USA. 1998.
De Louvois 1978
-
- De Louvois J. The bacteriology and chemotherapy of brain abscess. Journal of Antimicrobial Chemotherapy 1978;4:395-413. - PubMed
Demets 1987
-
- Demets DL. Methods for combining randomized clinical trials: strengths and limitations. Statistics in Medicine 1987;6(3):341-50. - PubMed
DerSimonian 1986
-
- DerSimonian R, Laird N. Meta-analysis in clinical trials. Controlled Clinical Trials 1986;7(3):177-88. - PubMed
Dickersin 1994
Egger 1997
Fischbein 1974
-
- Fischbein CA, Rosenthal A, Fischer EG, Nadas AS, Welch K. Risk factors of brain abscess in patients with congenital heart disease. American Journal of Cardiology 1974;34:97-102. - PubMed
Hollis 1999
ICH‐GCP 1997
-
- International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use. CFR & ICH Guidelines. Vol. 1. Philadelphia: Barnett International/PAREXEL, 1997.
Jadad 1996
-
- Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Controlled Clinical Trials 1996;17(1):1-12. - PubMed
Jadavji 1985
-
- Jadavji T, Humphreys RP, Prober CG. Brain abscesses in infants and children. Pediatric Infectious Diseases 1985;4:394-8. - PubMed
Jimenez 1987
-
- Jimenez JJ, Arimura GK, Abou-Khalil WH, Isildar M, Yunis AA. Chloramphenicol-induced bone marrow injury: possible role of bacterial metabolites of chloramphenicol. Blood 1987;70:1180-5. - PubMed
Juni 2001
Kagawa 1983
-
- Kagawa M, Takeshita M, Yato S, Kitamura K. Brain abscess in congenital cyanotic heart disease. Journal of Neurosurgery 1983;58:913-7. - PubMed
Kjaergard 2001
-
- Kjaergard L-L, Villumsen J, Gluud C. Reported methodological quality and discrepancies between large and small randomized trials in meta-analyses. Annals of Internal Medicine 2001;135:982-9. - PubMed
Lefebvre 1996
-
- Lefebvre C, McDonald S. Development of a sensitive search strategy for reports of randomised controlled trials in EMBASE. In: Paper presented at the Fourth International Cochrane Colloquium 20-24 Oct; Adelaide, Australia. 1996.
Lefebvre 2011
-
- Lefebvre C, Manheimer E, Glanville J. Chapter 6: Searching for studies. In: Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0 (updated March 2011). The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
Mathisen 1997
-
- Mathisen GE, Johnson JP. Brain abscess. Clinical Infectious Diseases 1997;25:763-81. - PubMed
Matson 1961
-
- Matson DD, Salam M. Brain abscess in congenital heart disease. Pediatrics 1961;27:772-89. - PubMed
Moher 1998
-
- Moher D, Pham B, Jones A, Cook DJ, Jadad AR, Moher M, et al. Does quality of reports of randomised trials affect estimates of intervention efficacy reported in meta-analyses? Lancet 1998;352(9128):609-13. - PubMed
Prusty 1993
-
- Prusty GK. Brain abscesses in cyanotic heart disease. Indian Journal of Pediatrics 1993;60:43-51. - PubMed
Saez‐Llorens 1989
-
- Saez-Llorens XJ, Umana MA, Odio CM, McCracken GH Jr, Nelson JD. Brain abscess in infants and children. Pediatric Infectious Disease Journal 1989;8:449-58. - PubMed
Schulz 1995
-
- Schulz KF, Chalmers I, Hayes RJ, Altman DG. Empirical evidence of bias. Dimensions of methodological quality associated with estimates of treatment effects in controlled trials. JAMA 1995;273(5):408-12. - PubMed
Sjolin 1991
Sjolin 1993
-
- Sjolin J, Lilja A, Eriksson N, Arneborn P, Cars O. Treatment of brain abscess with cefotaxime and metronidazole: prospective study on 15 consecutive patients. Clinical Infectious Diseases 1993;17:857-63. - PubMed
Takeshita 1997
-
- Takeshita M, Kagawa M, Yato S, Izawa M, Onda h, Takakura K, et al. Current treatment of brain abscess in patients with congenital cyanotic heart disease. Neurosurgery 1997;41(6):1270-8. - PubMed
Yamamoto 1993
-
- Yamamoto M, Jimbo M, Ide M. Penetration of intravenous antibiotics into brain abscess. Neurosurgery 1993;33:44-9. - PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
