The Useful Clinical Indicators of Performing a Spinal Tapping During an Outbreak of Enteroviral Meningitis / 대한소아신경학회지
Journal of the Korean Child Neurology Society
; (4): 185-191, 2009.
Article
em Ko
| WPRIM
| ID: wpr-121628
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE: Although spinal tapping and cerebrospinal fluid analysis is essential for diagnosis of aseptic meningitis, it is equivocal that all patients with headache and vomiting should receive spinal tapping for diagnosis of meningitis during an outbreak of enteroviral meningitis in summer seasons. The purpose of this study was to find clinical indicators that may be useful for differentiation of bacterial meningitis, and also to compare the clinical course between spinal tapping group and non-spinal tapping group confirmed enteroviral infection. METHODS: We retrospectively reviewed medical record of 65 cases of reverse transcription-polymerase chain reaction(RT-PCR) proven enteroviral meningitis, and 30 cases of culture proven bacterial meningitis admitted in Chunchon Sacred Heart Hospital. We compared the difference of clinical factors between bacterial and enteroviral meningitis groups and also clinical course between spinal tapping and non-spinal tapping groups. RESULTS: Children with bacterial meningitis had younger age onset, high incidence of seizure and altered consciousness, increased C-reactive protein(CRP) levels(P0.05). Children with spinal tapping group with enteroviral meningitis had longer hospital stay and duration of fever as compared to children in non-spinal tapping group(P<0.05), but no difference in duration of headache in both groups. CONCLUSION: We recommend children with younger age, altered consciousness, having seizure and increased CRP levels receive spinal tapping for the differentiation of bacterial meningitis during an outbreak of enteroviral meningitis, and introduction of rapid diagnostic technique may reduce unnecessary spinal tapping, hospital stay and antibiotics therapy.
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1
Índice:
WPRIM
Assunto principal:
Contagem de Plaquetas
/
Estações do Ano
/
Convulsões
/
Punção Espinal
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Vômito
/
Sedimentação Sanguínea
/
Prontuários Médicos
/
Incidência
/
Estudos Retrospectivos
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Meningites Bacterianas
Tipo de estudo:
Incidence_studies
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Observational_studies
/
Prognostic_studies
Limite:
Child
/
Humans
Idioma:
Ko
Revista:
Journal of the Korean Child Neurology Society
Ano de publicação:
2009
Tipo de documento:
Article