(精编)Meningitis – Lumbar Puncture教学课件.pptVIP

* Meningitis – Lumbar Puncture Objectives Signs of meningitis – how good are they? Who needs an LP – considering the evidence Interpreting LP results Absolute values Before / After antibiotics Causes of childhood acute bacterial meningitis. In children aged 1 month two pathogens predominate in unvaccinated populations usually accounting for 80% of cases outside the meningitis belt: Strep. Pneumoniae H. influenzae In children 1month the range of pathogens is wider with common ones being: Group B Streptococcus E.coli Klebsiella spp. Outcome of childhood acute bacterial meningitis Death ~30%