December 2020. Volume 16. Number 4

Procalcitonin and C-reactive Protein improve the ability of previous scales to rule out bacterial meningitis in the emergency room

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Mintegi S, García S, Martín MJ, Durán I, Arana-Arri E, Fernández CL, et al. Clinical prediction rule for distinguishing bacterial from aseptic meningitis. Pediatrics. 2020;146:e20201126.

Reviewers: Albi Rodríguez MS1, Gimeno Díaz de Atauri Á2.
1Servicio de Neumología y Alergia Infantil. Hospital Universitario 12 de Octubre. Madrid. España.
2Servicio de Pediatría. Hospital Universitario 12 de Octubre. Madrid. España.
Correspondence: María Salomé Albi Rodríguez. Email: msalbir@gmail.com
Reception date: 10/12/2020
Acceptance date: 14/12/2020
Publication date: 16/12/2020

Abstract

Authors’ conclusions: the “Meningitis Score for Emergencies” accurately distinguishes bacterial from aseptic meningitis in children with cerebrospinal fluid pleocytosis.

Reviewers’ commentary: the “Meningitis Score for Emergencies”, which adds C-reactive protein and procalcitonin to previous scores, rules out with high level of confidence bacterial meningitis in children with cerebrospinal fluid pleocytosis and without certain risk factors, (without) alarm data on physical examination and without recent antibiotherapy either. With the current prevalence in our environment, approximately one in 3 children with scores of one or higher on the scale would actually have bacterial meningitis.

How to cite this article

Albi Rodríguez MS, Gimeno Díaz de Atauri A. La procalcitonina y la proteína C reactiva mejoran la capacidad de las escalas previas para descartar meningitis bacteriana en Urgencias. Evid Pediatr. 2020;16:53.

AVC | Critically appraised articles

Mintegi S, García S, Martín MJ, Durán I, Arana-Arri E, Fernández CL, et al. Clinical prediction rule for distinguishing bacterial from aseptic meningitis. Pediatrics. 2020;146:e20201126.

Reviewers: Albi Rodríguez MS1, Gimeno Díaz de Atauri Á2.
1Servicio de Neumología y Alergia Infantil. Hospital Universitario 12 de Octubre. Madrid. España.
2Servicio de Pediatría. Hospital Universitario 12 de Octubre. Madrid. España.
Correspondence: María Salomé Albi Rodríguez. Email: msalbir@gmail.com
Reception date: 10/12/2020
Acceptance date: 14/12/2020
Publication date: 16/12/2020

How to cite this article

Albi Rodríguez MS, Gimeno Díaz de Atauri A. La procalcitonina y la proteína C reactiva mejoran la capacidad de las escalas previas para descartar meningitis bacteriana en Urgencias. Evid Pediatr. 2020;16:53.


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16/12/2020

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