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Meningitest

Aka: Meningitest

See Also
1. Nigrovic Clinical Decision Rule
2. Oostenbrink Clinical Decision Rule for Meningitis
Indications
1. Bacterial Meningitis evaluation in children
Contraindications: Exclusion Criteria
1. Neurosurgical history
2. Immunosuppression
3. CSF RBC Count >0.1 x10^6/ul
4. Antibiotic use in last 48 hours
Criteria (1 point for each)
1. CSF Gram Stain positive for organisms
2. CSF Protein >50 mg/dl
3. Seizure related to current episode
4. Purpura
5. Irritability
6. Serum Procalcitonin >= 0.5ng/ml
7. Peripheral Absolute Neutrophil Count > 10,000 cells/mm3
8. CSF Absolute Neutrophil Count >1000 cells/mm3
Efficacy
1. Test Sensitivity: 100% (96-100%)
Interpretation
1. Positive if presence of any of above (1 or more points)
2. Suggests higher likelihood of Bacterial Meningitis
References
1. Dubos (2009) Curr Opin Neurol 22(3): 288-93

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 2/17/2011 and last published on 5/17/2012.

This is one of 5740 pages in the Family Practice Notebook