Acute Bacterial and Viral Meningitis
@article{Bartt2012AcuteBA, title={Acute Bacterial and Viral Meningitis}, author={Russell E. Bartt}, journal={Continuum: Lifelong Learning in Neurology}, year={2012}, volume={18}, pages={1255–1270} }
Purpose of Review: Most cases of acute meningitis are infectious and result from a potentially wide range of bacterial and viral pathogens. The organized approach to the patient with suspected meningitis enables the prompt administration of antibiotics, possibly corticosteroids, and diagnostic testing with neuroimaging and spinal fluid analysis. Recent Findings: Acute meningitis is infectious in most cases and caused by a potentially wide range of bacterial and viral pathogens. Shifts in the…
33 Citations
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References
SHOWING 1-10 OF 19 REFERENCES
Epidemiology, Diagnosis, and Antimicrobial Treatment of Acute Bacterial Meningitis
- Medicine, BiologyClinical Microbiology Reviews
- 2010
The changing epidemiology of bacterial meningitis in the United States and throughout the world is described by reviewing the global changes in etiological agents followed by specific microorganism data on the impact of the development and widespread use of conjugate vaccines.
Community-Acquired Bacterial Meningitis: Risk Stratification for Adverse Clinical Outcome and Effect of Antibiotic Timing
- MedicineAnnals of Internal Medicine
- 1998
A prognostic model was developed that stratified patients into three levels of risk (low, intermediate, and high) for adverse clinical outcome and the prediction accuracy of the prognosticmodel was assessed.
Dexamethasone in adults with bacterial meningitis
- Medicine
- 2002
A prospective, randomized, double-blind, multicenter trial of adjuvant treatment with dexamethasone, as compared with placebo, in adults with acute bacterial meningitis.
Lumbar puncture in pediatric bacterial meningitis: defining the time interval for recovery of cerebrospinal fluid pathogens after parenteral antibiotic pretreatment.
- Medicine, BiologyPediatrics
- 2001
It is demonstrated that CSF sterilization may occur more rapidly after initiation of parenteral antibiotics than previously suggested, with complete sterilization of meningococcus within 2 hours and the beginning of sterilizing of pneumococcus by 4 hours into therapy.
Bacterial meningitis in the United States in 1995. Active Surveillance Team.
- Medicine, BiologyThe New England journal of medicine
- 1997
Bacterial meningitis in the United States is now a disease predominantly of adults rather than of infants and young children, largely as a result of a 94 percent reduction in the number of cases of H. influenzaeMeningitis due to vaccine-related decline.
Bacterial meningitis in the United States, 1998-2007.
- Medicine, BiologyThe New England journal of medicine
- 2011
The rates of bacterial meningitis have decreased since 1998, but the disease still often results in death, and the burden of bacterialMeningitis is now borne more by older adults.
Bacterial meningitis in the United States, 1986: report of a multistate surveillance study. The Bacterial Meningitis Study Group.
- Medicine, BiologyThe Journal of infectious diseases
- 1990
A prospective, laboratory-based surveillance project obtained accurate data on meningitis in a population of 34 million people during 1986, suggesting that improvements in early detection and antibiotic treatment may have occurred since that time.
Pneumococcal meningitis in adults: spectrum of complications and prognostic factors in a series of 87 cases.
- MedicineBrain : a journal of neurology
- 2003
A haematogenous pathogenesis seemed likely in asplenic patients, while contiguous spread from sinusitis or otitis was the major cause of meningitis in non-asplenic individuals, while age > or =60 years was associated with a higher mortality and the GOS of the survivors was comparable to that of the surviving younger patients.
Dexamethasone in adults with bacterial meningitis.
- MedicineThe New England journal of medicine
- 2003
Background: Even when bacterial meningitis is diagnosed and treated promptly, it causes significant morbidity and mortality in adults. Dexamethasone, which lessens cerebrospinal inflammation, has…