Earlier Treatment and Improved Outcome in Adult Bacterial Meningitis Following Guideline Revision Promoting Prompt Lumbar Puncture.
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منابع مشابه
Adult bacterial meningitis: earlier treatment and improved outcome following guideline revision promoting prompt lumbar puncture.
BACKGROUND In suspected acute bacterial meningitis (ABM), cerebral computerized tomography (CT) is recommended before lumbar puncture (LP) if mental impairment. Despite guideline emphasis on early treatment, performing CT prior to LP implies a risk of delayed treatment and unfavorable outcome. Therefore, Swedish guidelines were revised in 2009, deleting impaired mental status as a contraindicat...
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ABSTRACT Lumbar puncture (LP) is performed frequently in Pediatric departments to diagnose meningitis in infants and young children with fever. Children selected to have LP who do not have meningitis may, however, have other bacterial infections. During a 2-year desciptive study, we investigated lumbar punctures performed in pediatric departments of Bou-Ali, Emam-Hossein and Loghmane-Hakim ho...
متن کاملبررسی ضرورت پونکسیون مایع نخاع در کودکان مبتلا به اولین حمله تشنج و تب
Background: It is frequently thought that lumbar puncture (LP), is a mandatory procedure in all children presenting with febrile convulsion since convulsion may be the sole clinical manifestation of bacterial meningitis. The present study was conducted to assess whether meningitis could be recognized using readily available clinical information. Materials and methods: During the study period, ...
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BACKGROUND Suspected meningitis is a frequent reason for admission to hospital in the UK. While bacterial meningitis requires prompt antibiotic therapy to reduce mortality and morbidity, enteroviral meningitis, the most frequent viral cause, is almost invariably a benign disease. AIM To determine the clinical presentation, laboratory findings and outcome of meningitis by microbiological aetio...
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Although rotavirus gastroenteritis is quite common in the pediatric population, secondary bacterial sepsis following rotavirus infection is a rare clinical entity. Gram-negative bacilli are the fifth most common cause of meningitis in infants but this infection rarely occurs after gastroenteritis. Here, we report a 2.5-month-old infant who developed Escherichia coli (E. coli) meningitis after a...
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ورودعنوان ژورنال:
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
دوره 61 4 شماره
صفحات -
تاریخ انتشار 2015