Volume : 08, Issue : 09, September – 2021

Title:

14.MANAGEMENT OF MENINGITIS IN CRITICALLY ILL CHILDREN

Authors :

Hashim Mohammed Hummadi, Abdulrahman Mohammedsaeed Baqasi

Abstract :

Introduction: Central nervous system (CNS) infections are medical emergencies that require immediate diagnosis, initiation of treatment, and admittance to an intensive care unit (ICU) is quite often. Neisseria meningitides is one of the fatal infectious diseases in childhood worldwide. Most critically ill children are best managed in a specialist pediatric intensive care unit. Immediate resuscitation and stabilization are more important for the patient’s outcome than specialist pediatric intervention.
Aim of the Study: Aim of the study is to understand the management of children in bacterial and viral meningitis and critical care.
Methodology: The review is a comprehensive research of PUBMED & CROSSREF from the year 1992 to 2011.
Conclusion: Despite the decreased incidence of meningitis in children due to vaccination and other preventive measures, meningitis still remains to be linked with high neurological morbidity and mortality in children. Rapid administration of antibiotics and steroids improves clinical outcomes in some etiologies. CT scan is indicated but should not delay antibiotic therapy in case of history of central nervous system disease, immunocompromised state, papilledema, or focal neurological deficits. Viral and Bacterial meningitis is often difficult to differentiate; therefore, clinical models such as the Bacterial Meningitis Score and biomarkers such as serum CRP, procalcitonin, and CSF lactate can be useful in differentiating bacterial from viral meningitis. Further studies should continue to explore the utility of multiplex PCR and metagenomic next-generation sequencing (mNGS) in the evaluation of patients with suspected acute bacterial meningitis.
Keywords: meningitis, intensive unit care,

Cite This Article:

Please cite this article in press Hashim Mohammed Hummadi et al, Management Of Meningitis In Critically Ill Children.,Indo Am. J. P. Sci, 2021; 08(9).

Number of Downloads : 10

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