PA Medical News about meningitis; children

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Clinical decision rules for evaluating meningitis in children
Current Opinion in Neurology, 05/07/09

Dubos F et al. - The present review examines the performance and level of validation of decision rules proposed after the Haemophilus influenzae vaccination entered widespread use. Most of these rules have been validated incompletely, if at all. Only one rule incorporates the best single validated predictive marker for distinguishing between bacterial and aseptic meningitis in children: serum procalcitonin level. Two rules are highly promising, meeting the three major conditions after a retrospective validation process in large samples. These rules can be applied cautiously to patients with the same inclusion and exclusion criteria as those in the derivation sets, while awaiting prospective multicenter validation studies.

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Dementia and capsular genu ischemia in patients with severe bacterial meningitis
Neurological Sciences, 11/02/09 Relevance Score: 92%

Post-neurosurgical multidrug-resistant Acinetobacter baumannii meningitis successfully treated with intrathecal colistin. A new case and a systematic review of the literature
International Journal of Infectious Diseases, 11/16/09 Relevance Score: 91%

Costs for Households and Community Perception of Meningitis Epidemics in Burkina Faso
Clinical Infectious Diseases, 10/28/09 Relevance Score: 89%

Corticosteroids (dexamethasone versus intravenous methylprednisolone) in patients with tuberculous meningitis
Annals of Tropical Medicine and Parasitology, 10/15/09 Relevance Score: 88%

Prevalence and antimicrobial resistance pattern of bacterial meningitis in Egypt
Annals of Clinical Microbiology and Antimicrobials, 10/13/09 Relevance Score: 88%