Treatment for non bacterial meningitis treatment,how to get rid of huge pimples quick fix,home remedies for sore throat using honey butter - Plans On 2016

17.09.2015, admin
Bacterial meningitis is a serious illness that is responsible for considerable morbidity and mortality. Precaution: If there are signs of increased intracranial pressure, the potential value of the information from a lumbar puncture should be carefully weighed against the risk of the procedure. Start treatment with antibiotics immediately before the results of laboratory CSF examination if meningitis is clinically suspected or the CSF is obviously cloudy. If the diagnosis is confirmed, continue with parenteral antibiotics to complete treatment as above. In malarious areas, take a blood smear or do a rapid diagnostic test to check for malaria, as severe malaria should be considered a differential diagnosis or co-existing condition. Receiver operating characteristic (ROC) curves of DcR3 and cerebrospinal fluid (CSF) culture markers in predicting bacterial meningitis. Abstract Nosocomial bacterial meningitis requires timely treatment, but what is difficult is the prompt and accurate diagnosis of this disease. Creative Commons Attribution License (CC BY) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Children with cerebrospinal fluid (CSF) pleocytosis are frequently treated with parenteral antibiotics, but only a few have bacterial meningitis (BM).
No single clinical feature emerges as sufficiently distinctive to make a robust diagnosis, but a history of fever and seizures with the presence of meningeal signs and altered consciousness are common features of meningitis.

If the CSF is cloudy, assume meningitis and start treatment while waiting for laboratory confirmation. If in doubt, it might be better to start treatment for suspected meningitis and delay performing a lumbar puncture.
If the child has signs of meningitis and a lumbar puncture is not possible, treat immediately.
Once the child has improved, continue with daily injections of third-generation cephalosporins to complete treatment, or, if on chloramphenicol, give orally (unless there is concern about oral absorption (e.g. If these are suspected, refer the child to a hospital with specialized facilities for further management (see a standard paediatrics textbook for details of treatment). The aim of this study was to assess the potential role of decoy receptor 3 (DcR3) levels in the differentiation of bacterial meningitis from non-bacterial meningitis. Although some clinical prediction rules, such as Bacterial Meningitis Score, are of well known value, the CSF white blood cells (WBC) count can be the initial available information. Receiver Operating Characteristic (ROC) curve was used to evaluate clinical usefulness of the WBC count. Accuracy of the cerebrospinal fluid results to differentiate bacterial from non bacterial meningitis, in case of negative gram-stained smear.
Differential diagnosis of bacterial and viral meningitis in childhood acute meningitis: a statistical model.

The possibility of viral encephalitis or tuberculous meningitis must be considered as differential diagnoses in children with meningeal signs. A total of 123 patients were recruited in this study, among them 80 patients being with bacterial meningitis and 43 patients with non-bacterial meningitis. Our aim was to establish a cutoff point of CSF WBC count that distinguished bacterial from viral (VM) and aseptic meningitis (AM). Steroids should be given within 10–20 min before or during administration of antibiotics. Bacterial meningitis was confirmed by bacterial culture of cerebrospinal fluid (CSF) culture and enzyme-linked immunosorbent assay (ELISA) was used to detect the level of DcR3 in CSF. There is insufficient evidence to recommend routine use of steroids in all children with bacterial meningitis in developing countries, except in tuberculous meningitis. CSF leucocyte count yielded the highest diagnostic value, with an area under the receiver operating characteristic curve (ROC) of 0.928, followed by DcR3.
DcR3 in CSF may be a valuable predictor for differentiating patients with bacterial meningitis from those with non-bacterial meningitis.

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