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The role of lumbar puncture in children with suspected central nervous system infection

Kneen, Rachel; Solomon, Tom and Appleton, Richard (2002) The role of lumbar puncture in children with suspected central nervous system infection. BMC Pediatrics, 2 . Article Number: 8. ISSN 1471-2431

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Official URL: http://www.biomedcentral.com/1471-2431/2/8

Abstract

Background: The use of the lumbar puncture in the diagnosis of central nervous system infection in acutely ill children is controversial. Recommendations have been published but it is unclear whether they are being followed. Methods: The medical case notes of 415 acute medical admissions in a children's hospital were examined to identify children with suspected central nervous system infection and suspected meningococcal septicaemia. We determined whether lumbar punctures were indicated or contraindicated, whether they had been performed, and whether the results contributed to the patients' management. Results: Fifty-two children with suspected central nervous system infections, and 43 with suspected meningococcal septicaemia were identified. No lumbar punctures were performed in patients with contraindications, but only 25 (53%) of 47 children with suspected central nervous system infection and no contraindications received a lumbar puncture. Lumbar puncture findings contributed to the management in 18 (72%) of these patients, by identifying a causative organism or excluding bacterial meningitis. Conclusion: The recommendations for undertaking lumbar punctures in children with suspected central nervous system infection are not being followed because many children that should receive lumbar punctures are not getting them. When they are performed, lumbar puncture findings make a useful contribution to the patients' management.

Item Type:Article
Additional Information:Published: 2 September 2002. 8 pages (page numbers not for citation purposes).
Uncontrolled Keywords:meningococcal septicaemia; causative organism; bacterial meningitis
Subjects:R Medicine > RJ Pediatrics
Departments, Research Centres and Related Units:Academic Faculties, Institutes and Research Centres > Faculty of Medicine > School of Clinical Sciences
Academic Faculties, Institutes and Research Centres > Liverpool School of Tropical Medicine
DOI:10.1186/1471-2431-2-8
Publisher's Statement:© 2002 Kneen et al; licensee BioMed Central Ltd. This article is published in Open Access: verbatim copying and redistribution of this article are permitted in all media for any non-commercial purpose, provided this notice is preserved along with the article's original URL. This article is available from: http://www.biomedcentral.com/1471-2431/2/8
Related URLs:
Refereed:Yes
Status:Published
ID Code:788
Deposited On:07 Jul 2008 11:36
Last Modified:19 Apr 2012 12:15

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