PDF] USE OF SCORE AND CEREBROSPINAL FLUID LACTATE DOSAGE IN DIFFERENTIAL DIAGNOSIS OF BACTERIAL AND ASEPTIC MENINGITIS
Por um escritor misterioso
Last updated 28 março 2025
![PDF] USE OF SCORE AND CEREBROSPINAL FLUID LACTATE DOSAGE IN DIFFERENTIAL DIAGNOSIS OF BACTERIAL AND ASEPTIC MENINGITIS](https://d3i71xaburhd42.cloudfront.net/8f5d57c0faa9363000feb58f702a7c401e619ff5/4-Table3-1.png)
2 point BMS in association with CSF lactate dosage had the same sensitivity and negative predictive value, with increased specificity for diagnosis of bacterial meningitis when compared with 1-point BMS. ABSTRACT Objective: To evaluate Bacterial Meningitis Score (BMS) on its own and in association with Cerebrospinal Fluid (CSF) lactate dosage in order to distinguish bacterial from aseptic meningitis. Methods: Children diagnosed with meningitis at a tertiary hospital between January/2011 and December/2014 were selected. All data were obtained upon admission. BMS was applied and included: CSF Gram staining (2 points); CSF neutrophil count ≥1,000 cells/mm3 (1 point); CSF protein ≥80 mg/dL (1 point); peripheral blood neutrophil count ≥10,000 cells/mm3 (1 point) and seizures upon/before arrival (1 point). Cutoff value for CSF lactate was ≥30 mg/dL. Sensitivity, specificity and negative predictive value of several BMS cutoffs and BMS associated with high CSF lactate were evaluated for prediction of bacterial meningitis. Results: Among 439 eligible patients, 94 did not have all data available to complete the score, and 345 patients were included: 7 in bacterial meningitis group and 338 in aseptic meningitis group. As predictive factors of bacterial meningitis, BMS ≥1 had 100% sensitivity (95%CI 47.3-100), 64.2% specificity (58.8-100) and 100% negative predictive value (97.5-100); BMS ≥2 or BMS ≥1 associated with high CSF lactate also showed 100% sensitivity (47.3-100); but 98.5% specificity (96.6-99.5) and 100% negative predictive value (98.3-100). Conclusions: 2 point BMS in association with CSF lactate dosage had the same sensitivity and negative predictive value, with increased specificity for diagnosis of bacterial meningitis when compared with 1-point BMS.
![PDF] USE OF SCORE AND CEREBROSPINAL FLUID LACTATE DOSAGE IN DIFFERENTIAL DIAGNOSIS OF BACTERIAL AND ASEPTIC MENINGITIS](https://media.springernature.com/m685/springer-static/image/art%3A10.1186%2Fs42466-020-00098-6/MediaObjects/42466_2020_98_Fig1_HTML.png)
SOP: emergency workup in patients with suspected acute bacterial
![PDF] USE OF SCORE AND CEREBROSPINAL FLUID LACTATE DOSAGE IN DIFFERENTIAL DIAGNOSIS OF BACTERIAL AND ASEPTIC MENINGITIS](https://pub.mdpi-res.com/molecules/molecules-26-01419/article_deploy/html/images/molecules-26-01419-g001.png?1615280860)
Molecules, Free Full-Text
![PDF] USE OF SCORE AND CEREBROSPINAL FLUID LACTATE DOSAGE IN DIFFERENTIAL DIAGNOSIS OF BACTERIAL AND ASEPTIC MENINGITIS](https://pubs.acs.org/cms/10.1021/acs.analchem.2c03154/asset/images/medium/ac2c03154_0008.gif)
Intelligent Clinical Lab for the Diagnosis of Post-Neurosurgical
![PDF] USE OF SCORE AND CEREBROSPINAL FLUID LACTATE DOSAGE IN DIFFERENTIAL DIAGNOSIS OF BACTERIAL AND ASEPTIC MENINGITIS](https://journals.asm.org/cms/10.1128/spectrum.01618-22/asset/f980ef57-42a5-4d1a-85c7-de2f7eaa3e1a/assets/images/medium/spectrum.01618-22-f001.gif)
Diagnostic and Prognostic Value of Cerebrospinal Fluid Lactate and
![PDF] USE OF SCORE AND CEREBROSPINAL FLUID LACTATE DOSAGE IN DIFFERENTIAL DIAGNOSIS OF BACTERIAL AND ASEPTIC MENINGITIS](https://tomwademd.net/wp-content/uploads/2022/07/fig1-8.png)
Links To And Excerpts From The Curbsiders' #346 Meningitis With
![PDF] USE OF SCORE AND CEREBROSPINAL FLUID LACTATE DOSAGE IN DIFFERENTIAL DIAGNOSIS OF BACTERIAL AND ASEPTIC MENINGITIS](https://d3i71xaburhd42.cloudfront.net/6b1913c12d3e42df4b0d3d04208619550be7a944/2-Figure1-1.png)
PDF] Performance of lactate in discriminating bacterial meningitis
![PDF] USE OF SCORE AND CEREBROSPINAL FLUID LACTATE DOSAGE IN DIFFERENTIAL DIAGNOSIS OF BACTERIAL AND ASEPTIC MENINGITIS](https://i1.rgstatic.net/publication/281142211_CSF_lactate_for_accurate_diagnosis_of_community-acquired_bacterial_meningitis/links/55dc12e208aec156b9affe7f/largepreview.png)
PDF) CSF lactate for accurate diagnosis of community-acquired
![PDF] USE OF SCORE AND CEREBROSPINAL FLUID LACTATE DOSAGE IN DIFFERENTIAL DIAGNOSIS OF BACTERIAL AND ASEPTIC MENINGITIS](https://www.aafp.org/content/dam/brand/aafp/pubs/afp/issues/2017/0901/p314-t2.gif)
Aseptic and Bacterial Meningitis: Evaluation, Treatment, and
![PDF] USE OF SCORE AND CEREBROSPINAL FLUID LACTATE DOSAGE IN DIFFERENTIAL DIAGNOSIS OF BACTERIAL AND ASEPTIC MENINGITIS](https://europepmc.org/articles/PMC5737268/bin/0103-0582-rpp-35-04-369-gf1.jpg)
USE OF SCORE AND CEREBROSPINAL FLUID LACTATE DOSAGE IN
![PDF] USE OF SCORE AND CEREBROSPINAL FLUID LACTATE DOSAGE IN DIFFERENTIAL DIAGNOSIS OF BACTERIAL AND ASEPTIC MENINGITIS](https://d3i71xaburhd42.cloudfront.net/2a8388be55f5d8cf676d8a10b94a6468cde22cf4/2-Table1-1.png)
PDF] Aseptic and Bacterial Meningitis: Evaluation, Treatment, and
![PDF] USE OF SCORE AND CEREBROSPINAL FLUID LACTATE DOSAGE IN DIFFERENTIAL DIAGNOSIS OF BACTERIAL AND ASEPTIC MENINGITIS](https://d3i71xaburhd42.cloudfront.net/2a8388be55f5d8cf676d8a10b94a6468cde22cf4/5-Figure1-1.png)
PDF] Aseptic and Bacterial Meningitis: Evaluation, Treatment, and
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