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Bacterial Meningitis Score for Children

CSF Gram stain positive
CSF ANC ≥1,000 cells/µL
CSF protein ≥80 mg/dL (800 mg/L)
Peripheral blood ANC ≥10,000 cells/µL
Seizure at (or prior to) initial presentation

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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