II. Indications

  1. Meningitis evaluation in children
  2. Ages: 1 month to 15 years old

III. Criteria

  1. Duration of main symptoms: 1 pt/day (up to 10)
  2. Vomiting: 2 pt
  3. Physical exam
    1. Cyanosis: 6.5
    2. Altered Level of Consciousness: 8.0 pt
    3. Meningeal Irritation: 7.5 pt
    4. Petechiae: 4.0 pt
  4. C-Reactive Protein (CRP)
    1. CRP <5: 0 pt
    2. CRP <10: 0.5 pt
    3. CRP <15: 1.0 pt
    4. CRP <20: 1.5 pt
    5. CRP >20: 2.0 pt

IV. Interpretation

  1. Score >8.5 points indicates need for Lumbar Puncture

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