Join Drs Felicia Chow and Rodrigo Hasbun as they discuss the latest in diagnosis and treatment of BacterialMeningitis.
have been studied and showed good diagnostic accuracy in trying to distinguish who has viral vs bacterial meningitis. But the reality is they're not being used in clinical practice as much as we would like. For example, we did a study looking atwhere CSF lactate is an important predictor of having infectious meningitis, and it was only done in 50% of patients. CRP was only done in 1% of our patients.
in the CSF? Is that something that you can still rely on in terms of making the distinction between bacterial and viral meningitis?, and it was done by Dr van de Beek and Matthijs Brouwer from the Netherlands, and they actually looked at CSF at baseline and then went to 3 days later, 4 days, 5 days, and all the way to 14 days. They could see a trend in how the CSF white cell, glucose, and proteins behave. It takes a while for the glucose, protein, and CSF white count to get better.
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