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Controversies in the management of bacterial meningitis.
MedLine Citation:
PMID:  20046321     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Bacterial meningitis is an important infection of childhood with significant morbidity and mortality, and clinicians are faced with controversies over steroid use and fluid restriction in its initial management because the standard of practice is not clear. A 1999 survey of paediatric infectious diseases specialists demonstrated that only 56% of respondents recommended dexamethasone for Haemophilus influenzae type b meningitis and only 34% recommended dexamethasone for Streptococcus pneumoniae meningitis, despite recommendations for dexamethasone in the 1997 Red Book. The present article illustrates a typical case presentation of bacterial meningitis, and discusses dexamethasone use and fluid restriction. The use of intravenous fluid therapy is also reviewed, based on results from the single prospective randomized clinical trial in this area.
Authors:
Trenna Sutcliffe
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Paediatrics & child health     Volume:  7     ISSN:  1918-1485     ISO Abbreviation:  Paediatr Child Health     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2010-01-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815960     Medline TA:  Paediatr Child Health     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  449-53     Citation Subset:  -    
Affiliation:
Department of Paediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Ontario.
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