DIAGNOSTIC ACCURACY OF CEREBROSPINAL FLUID GRAM STAIN IN CHILDREN WITH SUSPECTED BACTERIAL MENINGITIS

被引：10

作者：

Brizzi, Kate ^{[3
]}

Hines, Elizabeth M. ^{[3
,4
]}

Mcgowan, Karin L. ^{[5
,6
]}

Shah, Samir S. ^{[1
,2
,7
]}

机构：

[1] Cincinnati Childrens Hosp Med Ctr, Div Hosp Med, Cincinnati, OH 45229 USA

[2] Cincinnati Childrens Hosp Med Ctr, Div Infect Dis, Cincinnati, OH 45229 USA

[3] Childrens Hosp Philadelphia, Div Infect Dis, Philadelphia, PA 19104 USA

[4] Childrens Hosp Philadelphia, Ctr Pediat Clin Effectiveness, Philadelphia, PA 19104 USA

[5] Childrens Hosp Philadelphia, Clin Microbiol Lab, Philadelphia, PA 19104 USA

[6] Univ Penn, Sch Med, Dept Pathol & Lab Med, Philadelphia, PA 19104 USA

[7] Univ Cincinnati, Coll Med, Dept Pediat, Cincinnati, OH USA

来源：

PEDIATRIC INFECTIOUS DISEASE JOURNAL | 2012年 / 31卷 / 02期

关键词：

meningitis; bacterial meningitis; lumbar puncture; diagnostic tests; infectious diseases;

D O I：

10.1097/INF.0b013e31823d7b6f

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

This cross-sectional study included 1938 children undergoing lumbar puncture; 21 (1.1%) cases were classified as definite (n = 17) or probable (n = 4) bacterial meningitis. Gram stain sensitivity was 94.1% (95% confidence interval, 71.3%-99.9%) for those with definite meningitis; the positive predictive value was 47.1% (95% confidence interval, 29.8%-64.9%). The sensitivity was 95.2% for those with definite or probable meningitis. Antibiotic pretreatment did not affect results.

引用

页码：195 / 197

页数：4