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Prognostic indicators in bacterial meningitis: a case-control study
Mendizabal, Maria de Fátima Magalhães Acioly; Bezerra, Phelipe Cunha; Guedes, Diego Lins; Cabral, Diogo Buarque Cordeiro; Miranda-Filho, Demócrito de Barros.
  • Mendizabal, Maria de Fátima Magalhães Acioly; Universidade de Pernambuco. Hospital Universitário Oswaldo Cruz. Recife. BR
  • Bezerra, Phelipe Cunha; Universidade de Pernambuco. Hospital Universitário Oswaldo Cruz. Recife. BR
  • Guedes, Diego Lins; Universidade de Pernambuco. Hospital Universitário Oswaldo Cruz. Recife. BR
  • Cabral, Diogo Buarque Cordeiro; Universidade de Pernambuco. Hospital Universitário Oswaldo Cruz. Recife. BR
  • Miranda-Filho, Demócrito de Barros; Universidade de Pernambuco. Hospital Universitário Oswaldo Cruz. Recife. BR
Braz. j. infect. dis ; 17(5): 538-544, Sept.-Oct. 2013. ilus, tab
Article Dans Anglais | LILACS | ID: lil-689878
ABSTRACT
This was a case-control study to identify prognostic indicators of bacterial meningitis in a reference hospital in Pernambuco/Brazil. The data were collected from charts of 294 patients with bacterial meningitis between January 2000 and December 2004. Variables were grouped in biological, clinical, laboratory and etiologic agent/treatment. Variables selected in each step were grouped and adjusted for age. Two models were created one containing clinical variables (clinical model) and other containing laboratory variables (laboratory model). In the clinical model the variables associated with death due to bacterial meningitis were dyspnea (p = 0.006), evidence of shock (p = 0.051), evidence of altered mental state (p = 0.000), absence of headache (p = 0.008), absence of vomiting (p = 0.052), and age >40 years old (p = 0.013). In the laboratory model, the variables associated with death due to bacterial meningitis were positive blood cultures (p = 0.073) and thrombocytopenia (p = 0.019). Identification of prognostic indicators soon after admission may allow early specific measures, like admission of patients with higher risk of death to Intensive Care Units.
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Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Méningite bactérienne Type d'étude: Etude d'étiologie / Étude observationnelle / Étude pronostique / Facteurs de risque Limites du sujet: Adolescent / Adulte / Adulte très âgé / Aged80 / Femelle / Humains / Mâle langue: Anglais Texte intégral: Braz. j. infect. dis Thème du journal: Maladies transmissibles Année: 2013 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: Universidade de Pernambuco/BR

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Texte intégral: Disponible Indice: LILAS (Amériques) Sujet Principal: Méningite bactérienne Type d'étude: Etude d'étiologie / Étude observationnelle / Étude pronostique / Facteurs de risque Limites du sujet: Adolescent / Adulte / Adulte très âgé / Aged80 / Femelle / Humains / Mâle langue: Anglais Texte intégral: Braz. j. infect. dis Thème du journal: Maladies transmissibles Année: 2013 Type: Article Pays d'affiliation: Brésil Institution/Pays d'affiliation: Universidade de Pernambuco/BR