Meningitis pediatria pdf 2010

The changing pattern of bacterial meningitis in adult patients at a large tertiary university hospital in barcelona, spain 1982 2010. Clinical and paraclinical characteristics of bacterial. The objective of these practice guidelines is to provide clinicians with recommendations for the diagnosis and treatment of bacterial meningitis. The clinical criteria must be checked and laboratory aids used in the way to obtain a precise diagnosis.

Mercy hospital foundation in 2010, underwent lumbar puncture for suspected meningitis. Diagnosis, initial management, and prevention of meningitis. However, this infection continues to be associated with considerable mortality and morbidity if not treated effectively with empirical antimicrobial therapy. Meningitis is usually caused by a bacterial or viral infection that invades the cerebral spinal fluid csf.

Bamberger, md, university of missourikansas city school of medicine, kansas city, missouri. The severity of a childs symptoms and prognosis depend on. Risk factors associated with the outcomes of pediatric. Patients with bacterial meningitis are usually treated by primary care and emergency medicine physicians at the time of initial presentation, often in consultation with infectious diseases specialists, neurologists, and. Background the rate of bacterial meningitis declined by 55% in the united states in the early 1990s, when the haemophilus influenzae type b hib conjugate vaccine meningitis pediatria pdf. Meningitis bacteriana aguda tellez gonzalez c, reyes dominguez s. Guidelines for the management of suspected and confirmed. Over the years 20072012, a mean of meningitis due to n. Cerebral spinal fluid csf is the fluid within the open spaces of the brain that protect and cushion the brain and spinal cord. We excluded patients in whom cns infection started before one month of age, carriers of invasive devices cns level, those with a history of myelomeningocele or csf fistulas.

Scribd is the worlds largest social reading and publishing site. Diagnosis, initial management, and prevention of meningitis david m. The epidemiology of bacterial meningitis in children is changing. Data were collected from active surveillance of bacterial meningitis cases treated at the university clinical center of kosovo in the years 2000 first postwar year and 2010. Clinical practice guideline summary clinical practice guidelines for the acute management of infants and children with bacterial meningitis. If you continue browsing the site, you agree to the use of cookies on this website. Division of infectious diseases, childrens mercy hospitals and clinics, kansas city, mo. There was only 1 case of pneumococcal meningitis in our cohort versus 9% in the 2010 2011 uk cohort in the same age group. The incidence of bacterial meningitis in infants and children has decreased since the routine use of conjugated vaccines targeting haemophilus influenzae type b, streptococcus pneumoniae and neisseria meningitidis.

How to be productive at home from a remote work veteran. Meningitis bacteriana mx este documento es elaborado por medigraphic cuadro iv. The epidemiology, management, and outcomes of bacterial. Analysis of the risk associated with the causative organism of bacterial meningitis was difficult, because most studies included patients with laboratory and clinical findings suggestive of meningitis, but lacked isolation of the etiologic agent using either microbiological or molecular tests. Routine neuroimaging is not necessary for the initial medical evaluation of children with suspected bacterial meningitis who do not have clinical signs of brain herniation. Practice guidelines are systematically developed statements to assist practitioners and patients in making decisions about appropriate health care for specific clinical circumstances. Pdf on jun 1, 2014, maria teresa rosanova and others published meningitis find, read and cite all the research you need on researchgate. Attributes of good guidelines include validity, reliability, reproducibility, clinical applicability, clinical flexibility, clarity, multidisciplinary process.