Conservative Treatment of an Early Aortic Graft Infection Due to Acinetobacter baumanii

@article{Pencavel2006ConservativeTO,
  title={Conservative Treatment of an Early Aortic Graft Infection Due to Acinetobacter baumanii},
  author={Tim D. Pencavel and G Singh-Ranger and James N. Crinnion},
  journal={Annals of Vascular Surgery},
  year={2006},
  volume={20},
  pages={415-417}
}
Acute infection of an aortic graft is a devastating complication. While resection of the infected prosthesis and extra-anatomic bypass is the established treatment, this carries a high mortality. We describe a case of early aortic graft infection with the unusual organism Acinetobacter baumanii, which was eradicated by a combination of surgical drainage and antibiotics, allowing preservation of the graft. The patient remains well 30 months later. 
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Perigraft infections due to Salmonella after abdominal aortic aneurysm repair.
TLDR
Perigraft infections post abdominal aortic aneurysm repair could be caused by enteric organisms and must be treated with long-term appropriate antibiotics, depending on the microbiological finding, besides surgical drainage and lavage.
Conservative treatment of aortic graft infection.
TLDR
Whether the aortic graft infection is cured or controlled is debated, but outcomes for high-risk patients and those with grafts in critical vascular beds are often superior to a high- risk surgical graft resection.
Prosthesis infection: prevention and treatment.
TLDR
The incidence of graft infection is summarized, the predisponding factors to graft infection are analyzed, and current strategies for prevention and treatment of prosthesis and endograft infection are reviewed.
Preventing strategy of multidrug-resistant Acinetobacter baumanii susceptible only to colistin in cardiac surgical intensive care units.
Life-long antimicrobial therapy: where is the evidence?
TLDR
A summary of the available evidence for patient populations where long-term antibiotic therapy is currently recommended in clinical practice is provided, including medication adverse effects, economic cost and any possible contribution to the emerging epidemic of microbial resistance.

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