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Among the hospital infections, hospital-acquired central nervous system infections are quite important due to the high mortality. The pathogens that cause hospital-acquired meningitis differ according to the immune system and underlying diseases. The most frequent pathogens are gram-negative bacilli, Staphylococcus aureus, and coagulase-negative staphylococci. There are difficulties in the treatment due to the problem of increasing resistance. Treatment options of the multiple-drug-resistant pathogens are limited. In this paper, the treatment options of the hospital-acquired and methicillin-resistant S. aureus meningitis are reviewed.