Neurology Book

Approach

Infectious Disease

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Oostenbrink Clinical Decision Rule for Meningitis

Aka: Oostenbrink Clinical Decision Rule for Meningitis
  1. See Also
    1. Nigrovic Clinical Decision Rule (for CSF evaluation)
  2. Indications
    1. Meningitis evaluation in children
    2. Ages: 1 month to 15 years old
  3. 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
  4. Interpretation
    1. Score >8.5 points indicates need for Lumbar Puncture
  5. References
    1. Oostenbrink (2001) Acta Paediatr 90:611-7 [PubMed]

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