Lumbar Puncture Performed Promptly or After Neuroimaging in Acute Bacterial Meningitis in Adults: A Prospective National Cohort Study Evaluating Different Guidelines
Author(s) -
Martin Glimåker,
Jan Sjölin,
Styrbjörn Åkesson,
Pontus Nauclér
Publication year - 2017
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/cix806
Subject(s) - medicine , lumbar puncture , confidence interval , clinical endpoint , odds ratio , prospective cohort study , neuroimaging , meningitis , guideline , cohort study , cohort , pediatrics , intensive care medicine , clinical trial , psychiatry , pathology , cerebrospinal fluid
Early treatment is pivotal for favorable outcome in acute bacterial meningitis (ABM). Lumbar puncture (LP) is the diagnostic key. The aim was to evaluate the effect on outcome of adherence to European Society of Clinical Microbiology and Infectious Diseases (ESCMID), Infectious Diseases Society of America (IDSA), and Swedish guidelines regarding neuroimaging before LP.
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