| Lumbar puncture in neonates under and over 72 hours of age. | |
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MedLine Citation:
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PMID: 16899181 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To identify the criteria for performing a spinal tap in neonates with suspected sepsis and compare the findings in infants under and over the age of 72 hours. STUDY DESIGN: Analytical. PLACE AND DURATION: Neonatal Ward of Taleghani Medical Centre, Shaheed Beheshti University of Medical Sciences, Evin,Tehran. Study period was of one year, from March 2003 to February 2004. PATIENTS AND METHODS: All newborns subjected to a lumbar puncture during the first 24 hours of admission were enrolled in the study. Results of cerebrospinal fluid analysis were scrutinized. RESULTS: There were 380 neonates in the study. Majority i.e. 248 infants were aged<72 hours. Meningitis was diagnosed in 22 cases, (5.8%). There was no significant difference in the incidence of meningitis between neonates under and over 72 hours of age, (6.9% vs. 3.8%, p-value>0.5). Comparison of risk factors, clinical manifestations, and routine laboratory investigations revealed no significant difference in babies with or without meningitis. CONCLUSION: The findings of this series do not support a selective approach for performing a lumbar puncture in a possibly septic newborn. A lumbar puncture is recommended in all neonates with suspected sepsis regardless of age, risk factors, or specific neurological manifestations. |
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Authors:
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Farideh Shiva; Nariman Mosaffa; Ronak Khabbaz; Mojgan Padyab |
Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP Volume: 16 ISSN: 1022-386X ISO Abbreviation: J Coll Physicians Surg Pak Publication Date: 2006 Aug |
Date Detail:
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Created Date: 2006-08-10 Completed Date: 2006-11-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9606447 Medline TA: J Coll Physicians Surg Pak Country: Pakistan |
Other Details:
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Languages: eng Pagination: 525-8 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Shaheed Beheshti University of Medical Sciences, Tehran, Iran. shivahfa@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Female Follow-Up Studies Gram-Negative Bacterial Infections / cerebrospinal fluid, diagnosis, epidemiology Gram-Positive Bacterial Infections / cerebrospinal fluid, diagnosis, epidemiology Humans Incidence Infant, Newborn Iran Male Meningitis, Bacterial / cerebrospinal fluid, diagnosis, epidemiology Risk Factors Sepsis / cerebrospinal fluid, diagnosis, epidemiology Spinal Puncture* |
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