March 2011. Volume 7. Number 1

Two clinical decision rules may be useful to rule out bacterial meningitis

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Dubos F, Korczowski B, Ayqun DE, Martinot A, Prat C, Galetto-Lacour A et al. Distinguishing between bacterial and aseptic meningitis in children: European comparison of two clinical decision rules. Arch Dis Child. 2010;95:963-7.
Reviewers: Pérez Gaxiola G1, Cuello García CA2.
1Hospital Pediátrico de Sinaloa. Culiacán. Sinaloa. México.
2ITESM. Monterrey. Nuevo León. México.
Correspondence: Giordano Pérez Gaxiola. Email: giordanopg@gmail.com
Reception date: 20/01/2011
Acceptance date: 04/02/2011
Publication date: 09/02/2011

Abstract

Authors' conclusion: validation of this two clinical decision rules shows that both reach 100% sensitivity, although the Bacterial Meningitis Score has better specificity.

Reviewers' commentary: despite the high sensitivity reported in both clinical decision rules, this retrospective validation study should not be considered enough evidence to begin implementing any of the rules in every health system and clinical scenarios. It is likely that future validation studies will provide the evidence and narrow confidence intervals for its universal application. Meanwhile, we suggest an individual approach and implementation of the rules in patients with the suspicion of bacterial meningitis.

How to cite this article

Pérez Gaxiola G, Cuello García CA. Dos reglas de decisión clínica podrían ser útiles para descartar meningitis bacteriana. Evid Pediatr. 2011;7:18.

AVC | Critically appraised articles

Dubos F, Korczowski B, Ayqun DE, Martinot A, Prat C, Galetto-Lacour A et al. Distinguishing between bacterial and aseptic meningitis in children: European comparison of two clinical decision rules. Arch Dis Child. 2010;95:963-7.
Reviewers: Pérez Gaxiola G1, Cuello García CA2.
1Hospital Pediátrico de Sinaloa. Culiacán. Sinaloa. México.
2ITESM. Monterrey. Nuevo León. México.
Correspondence: Giordano Pérez Gaxiola. Email: giordanopg@gmail.com
Reception date: 20/01/2011
Acceptance date: 04/02/2011
Publication date: 09/02/2011

How to cite this article

Pérez Gaxiola G, Cuello García CA. Dos reglas de decisión clínica podrían ser útiles para descartar meningitis bacteriana. Evid Pediatr. 2011;7:18.

References

  1. Kim KS. Acute bacterial meningitis in infants and children. Lancet Infect Dis. 2010;10:32-42.
  2. Ochoa Sangrador C. Valoración crítica de estudios sobre reglas de predicción clínica. Evid Pediatr. 2009;5:52.
  3. González de Dios J, Fino Narbaitz E. En busca de la mejor escala de decisión clínica para diferenciar entre meningitis bacteriana y aséptica. Evid Pediatr. 2006;2:72.
  4. Curtis S, Stobart K, Vandermeer B, Simel DL, Klassen T. Clinical Features Suggestive of Meningitis in Children: A Systematic Review of Prospective Data. Pediatrics. 2010;126:952-60.
09/02/2011

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