Management of bacterial meningitis in children

Management of bacterial meningitis in children - Meningitis...

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Meningitis – Lumbar Puncture
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Objectives Signs of meningitis – how good are they? Who needs an LP – considering the evidence Interpreting LP results Absolute values Before / After antibiotics
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Causes of childhood acute bacterial meningitis. In children aged > 1 month two pathogens predominate in unvaccinated populations usually accounting for >80% of cases outside the meningitis belt: Strep. Pneumoniae H. influenzae In children < 1month the range of pathogens is wider with common ones being: Group B Streptococcus E.coli Klebsiella spp.
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Outcome of childhood acute bacterial meningitis Death ~30% fatality unless meningococci are a prevalent cause when mortality is a little lower.
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Outcome of childhood acute bacterial meningitis Death ~ 30% Severe Handicap ~ 25-30% Hemiplegia Blindness Deafness Severe Learning Difficulty Severe behavioural disturbances Severe Epilepsy.
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Can we do better with hospital care? Steroids?
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Management of bacterial meningitis in children - Meningitis...

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