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Nigrovic Clinical Decision RuleAka: CSF Interpretation for Predicting Bacterial Meningitis

See Also
1. Oostenbrink Clinical Decision Rule for Meningitis
Indications
1. Meningitis evaluation in children
Criteria (1 point for each)
1. CSF Gram Stain positive for organisms
2. CSF Protein >79 mg/dl
3. Seizure related to current episode
4. Peripheral Absolute Neutrophil Count > 10,000 cells/mm3
5. CSF Absolute Neutrophil Count >1000 cells/mm3
Interpretation
1. Positive if presence of any of above (1 or more points)
2. Suggests higher likelihood of Bacterial Meningitis
References
1. Nigrovic (2002) Pediatrics 110:712

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