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Test Characteristics of Cerebrospinal Fluid Gram Stain to Identify Bacterial Meningitis in Infants Younger Than 60 Days.
Balamuth, Fran; Cruz, Andrea T; Freedman, Stephen B; Ishimine, Paul T; Garro, Aris; Curtis, Sarah; Grether-Jones, Kendra L; Miller, Aaron S; Uspal, Neil G; Schmidt, Suzanne M; Shah, Samir S; Nigrovic, Lise E.
Afiliación
  • Balamuth F; From the Division of Emergency Medicine, Children's Hospital of Philadelphia, Philadelphia, PA.
  • Cruz AT; Division of Emergency Medicine, Department of Pediatrics, Texas Children's Hospital, Baylor School of Medicine, Houston, TX.
  • Freedman SB; Division of Emergency Medicine, Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB.
  • Ishimine PT; Departments of Emergency Medicine and Pediatrics, University of California, San Diego School of Medicine, San Diego, CA.
  • Garro A; Department of Emergency Medicine, Section of Pediatric Emergency Medicine, Alpert Medical School of Brown University, Providence, RI.
  • Curtis S; Division of Pediatric Emergency Medicine, Stollery Children's Hospital, Women and Children's Health Research Institute & Faculty of Medicine & Dentistry, University of Alberta, Canada.
  • Grether-Jones KL; School of Medicine, University of California Davis, Sacramento, CA.
  • Miller AS; Division of Pediatric Infectious Diseases, St. Louis University School of Medicine, St. Louis, MO.
  • Uspal NG; Division of Emergency Medicine, Department of Pediatrics, Seattle Children's Hospital, Seattle, WA.
  • Schmidt SM; Division of Emergency Medicine, Department of Pediatrics, Seattle Children's Hospital, Chicago, IL.
  • Shah SS; Divisions of Hospital Medicine and Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
  • Nigrovic LE; Division of Emergency Medicine, Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, MA.
Pediatr Emerg Care ; 37(5): e227-e229, 2021 May 01.
Article en En | MEDLINE | ID: mdl-30422943
ABSTRACT: In our cohort of 20,947 infants aged 60 days or younger, cerebrospinal fluid Gram stain had a sensitivity of 34.3% (95% confidence interval, 28.1%-41.1%) and a positive predictive value of 61.4% (95% confidence interval, 52.2%-69.8%) for positive cerebrospinal fluid culture, suggesting that Gram stain alone may lead to both underdiagnosis and overdiagnosis of bacterial meningitis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Meningitis Bacterianas Tipo de estudio: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans / Infant Idioma: En Revista: Pediatr Emerg Care Asunto de la revista: MEDICINA DE EMERGENCIA / PEDIATRIA Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Meningitis Bacterianas Tipo de estudio: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans / Infant Idioma: En Revista: Pediatr Emerg Care Asunto de la revista: MEDICINA DE EMERGENCIA / PEDIATRIA Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos