Eficácia da associação de dexametasona à antibioticoterapia em pacientes pediátricos com meningite bacteriana / Effectiveness of the association of dexamethasone with antibiotic therapy in pediatric patients with bacterial meningitis
Rev. Assoc. Med. Bras. (1992)
;
58(3): 319-322, May-June 2012. ilus
Article
in Portuguese
| LILACS
| ID: lil-639555
RESUMO
OBJETIVO:
Avaliar a eficácia da associação de corticoide ao tratamento padrão da meningite bacteriana em pacientes pediátricos.MÉTODOS:
Realizou-se revisão sistemática da literatura através da base de dados MEDLINE. Foram incluídos apenas ensaios clínicos controlados e randomizados que comparassem a dexametasona ao placebo no tratamento de pacientes pediátricos com meningite bacteriana.RESULTADOS:
Oito artigos preencheram os critérios de inclusão e foram selecionados para análise. Não houve diferença nas taxas de mortalidade (p = 0,86) ou de incidências de sequelas neurológicas (p = 0,41) e audiológicas (p = 0,48) entre os grupos.CONCLUSÃO:
Não existem benefícios na associação de corticoide ao tratamento da meningite bacteriana em pacientes pediátricos.ABSTRACT
OBJECTIVE:
To evaluate the efficacy of the association of corticosteroids and the standard treatment of bacterial meningitis in pediatric patients.METHODS:
A systematic review of the literature was conducted through the MEDLINE database. Only randomized controlled trials comparing dexamethasone with placebo in the treatment of pediatric patients with bacterial meningitis were included.RESULTS:
Eight articles met the inclusion criteria and were selected for analysis. There were no difference in mortality (p = 0.86), and incidence of neurological (p = 0.41) and auditory (p = 0.48) sequelae between the groups.CONCLUSION:
There are no benefits in associating corticosteroids with the standard treatment of bacterial meningitis in pediatric patients.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Dexamethasone
/
Meningitis, Bacterial
/
Glucocorticoids
/
Anti-Bacterial Agents
Type of study:
Controlled clinical trial
/
Risk factors
Limits:
Child
/
Humans
Language:
Portuguese
Journal:
Rev. Assoc. Med. Bras. (1992)
Year:
2012
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
UNILUS/BR
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