WebApr 15, 2015 · Compared with CT before LP, immediate LP resulted in 1.6 hours earlier treatment, significant increase in door-to-antibiotic times of <1 and <2 hours, and a favorable outcome. In 2010-2012, mortality was lower (6.9% vs 11.7%) and the risk of sequelae at follow-up decreased (38% vs 49%) in comparison with 2005-2009. WebHowever, it is not necessary to routinely do CT before lumbar puncture in young children with suspected meningitis; herniation of the brain is rare in young children with bacterial …
Lumbar puncture: Technique, indications, contraindications, and ...
WebCT before lumbar puncture. LP without CT is likely safe if: History Age < 60; Not immunocompromised; No history of CNS disease; No seizure within 1 week of … WebJan 30, 2002 · In a retrospective study, these authors evaluated whether patient characteristics and findings on the Modified NIH Stroke Scale could be used to identify patients who do not need CT before LP. Of 301 emergency department patients with suspected meningitis, 235 (78%) underwent head CT before LP. CT was abnormal in … electric skateboard mounting trucks
CT before lumbar puncture in suspected meningitis in Botswana: …
WebJun 15, 2024 · Among 614 adults with CAM, 407 patients (66.3%) did not have an indication for a head CT scan and 207 (33.7%) did. Patients with a CT scan indication were older, had more comorbidities, were sicker, and had more urgent treatable etiologies and adverse clinical outcomes (P < .001). A CT scan was ordered before the LP in 549 patients (89%). WebJun 1, 2024 · Avoid a One-Size-Fits-All Approach for Meningitis, but Don't Let CT or LP Delay Antibiotics. Bacterial meningitis was essentially 100 percent fatal before antibiotics. Infections and associated mortality have greatly decreased since the arrival of antibiotics and mass vaccination against Haemophilus influenzae and Neisseria meningitidis, but ... WebLumbar puncture (LP) to obtain cerebrospinal fluid (CSF) is an important step in the management of acute bacterial meningitis. This procedure can, however, be associated with the presumed risk of brain herniation. Performing head Computed Tomography (CT) scan before LP has become an almost a routine practice in many centers with its … food wheeling