Clinical Audit on Management of Central Nervous System Infections | ||
| The Medical Journal of Cairo University | ||
| Article 110, Volume 87, June, June 2019, Pages 2317-2322 PDF (545.8 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjcu.2019.54398 | ||
| Authors | ||
| ELSAYED K. ABD EL-KARIM, M.D.; DUAA M. RAAFAT, M.D.; SAFAA M. ABD EL-ALEEM, M.Sc. | ||
| The Department of Pediatrics, Faculty of Medicine, Assiut University, Egypt | ||
| Abstract | ||
| Abstract Background: Central Nervous System (CNS) infections cause significant mortality and neurological morbidity through-out the world children. Patients and Methods: All patients aged beyond neonates admitted to Assiut University Children Hospital (during six month duration) from 1/6/2017 to 30/11/2017 with any symp-toms or signs of meningitis, encephalitis or meningeoencepha-litis including fever, convulsions, disturbed conscious level were included in this study to assess how much adopted protocols in management of CNS infections are applied. Results: Shows that 100% of patients had lumber puncture, CSF culture was done to 16.4% of all cases, the first choice of empirical treatment were Ampicillin plus cefotaxime in about 82% of all cases, vancomycin came after in 19.7% of them, then ceftriaxone in 18%, nearly all patients were treated with steroid except for one case, 88.5% were treated with antiviral, mainly all Children 3 month with unconfirmed disease treated with ceftriaxone for 10 days. Conclusion: We need to stick with the international guidelines as a reference standard to avoid miss diagnosis and complications of CNS infections to improve the health services provided in Neurology Unit. | ||
| Keywords | ||
| Meningitis – Encephalitis – Management guide-lines – Empiric antibiotics – Steroids – Acyclovair | ||
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