Adult Bacterial Meningitis: Earlier Treatment and Improved Outcome Following Guideline Revision Promoting Prompt Lumbar Puncture | Zendy

Martin Glimåker | Zendy; Björn Johansson | Zendy; Örjan Grindborg | Zendy; Matteo Bottai | Zendy; Lars Lindquist | Zendy; Jan Sjölin | Zendy

Open Access

Adult Bacterial Meningitis: Earlier Treatment and Improved Outcome Following Guideline Revision Promoting Prompt Lumbar Puncture

Author(s) -

Martin Glimåker,

Björn Johansson,

Örjan Grindborg,

Matteo Bottai,

Lars Lindquist,

Jan Sjölin

Publication year - 2015

Publication title -

clinical infectious diseases

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.44

H-Index - 336

eISSN - 1537-6591

pISSN - 1058-4838

DOI - 10.1093/cid/civ011

Subject(s) - medicine , contraindication , guideline , lumbar puncture , bacterial meningitis , lumbar , meningitis , pediatrics , antibiotic therapy , surgery , antibiotics , alternative medicine , cerebrospinal fluid , pathology , microbiology and biotechnology , biology

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 contraindication for LP without prior CT scan. The aim of the present study was to evaluate the guideline revision.

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