Bacterial_Meningitis_Score_for_Children v.1

Score to asses risk of bacterial meningitis

Jack Msonkho

models@cambiocds.com

@CambioCDS

Assessment of Bacterial Meningitis

Use in patients aged 29 days to 19 years with CSF WBC ≥10 cells/μL.

Do NOT use if the patient: Is critically ill, requiring respiratory or vasopressor support. Received antibiotics <72 hours prior to lumbar puncture. Has a VP shunt or recent neurosurgery. Is immunosuppressed. Has proof of another bacterial infection (e.g. UTI, bone infection, known bacteremia) that warrants inpatient antibiotic therapy. Has known active Lyme Disease.

Nigrovic LE, Kuppermann N, Macias CG, et al. Clinical Prediction Rule for Identifying Children With Cerebrospinal Fluid Pleocytosis at Very Low Risk of Bacterial Meningitis. JAMA. 2007;297(1):52–60. doi:10.1001/jama.297.1.52

OBSERVATION.bacterial_meningitis_score_for_children.v0, EVALUATION.bacterial_meningitis_score_for_children.v0