Guidelines
Brain Abscess

Brain Abscess

Clinical/Diagnostic Considerations

  • Applies to cryptogenic abscesses not associated with endocarditis or trauma nor in patients with underlying immunosupression.
  • Obtain chest radiograph, blood cultures (2 sets), CT including sinuses and mastoid areas.
  • Neurosurgery and ID consultation recommended.

Infection Prevention and Control

Routine Precautions

Most Likely Pathogens

Streptococcus species (aerobic and anaerobic) including Streptococcus anginosus

Upper airway (aerobic and anaerobic) pathogens

Empiric Antimicrobials

Usual Duration

Usually 6 weeks but dependent on size, surgical drainage and causative bacteria