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Bacterial meningitis score for children
Bacterial Meningitis Score for Children
CSF Gram stain positive
No
Yes
CSF ANC ≥1,000 cells/µL
No
Yes
CSF protein ≥80 mg/dL (800 mg/L)
No
Yes
Peripheral blood ANC ≥10,000 cells/µL
No
Yes
Seizure at (or prior to) initial presentation
No
Yes
Result :
Bacterial Meningitis Score for Children : 0 Points
Aseptic meningitis very likely
Instructions
Use in patients aged 29 days to 19 years with CSF WBC ≥10 cells/μL. Do not use if patient is critically ill, recently received antibiotics, has a VP shunt or recent neurosurgery, is immunosuppressed, or has other bacterial infection requiring antibiotics (including Lyme disease).
References
Nigrovic LE, Kuppermann N, Macias CG, et al. Clinical prediction rule for identifying children with cerebrospinal fluid pleocytosis at very low risk of bacterial meningitis. JAMA. 2007;297(1):52-60.
Nigrovic LE, Kuppermann N, Malley R. Development and validation of a multivariate predictive model to distinguish bacterial from aseptic meningitis in children in the post-haemophilus influenza era. Pediatrics. 2002; 110: 712-9.
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Anaphylaxis
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