Cerebrospinal fluid leak
From IDWiki
Background
- CSF leaks are associated with a high risk of meningitis (10-25%, depending on etiology and chronicity)
Management
- Current IDSA guidelines recommend:
- No routine prophylactic antibiotic in patients with basilar skull fractures and CSF leak
- Surgical repair if leak lasts more than 7 days
- Pneumococcal vaccination
Further Reading
- Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis. Clin Infect Dis. 2017;64(6):e34-e65. doi: 10.1093/cid/ciw861
