Stetefeld, H. R. and Dohmen, C. (2016). Acute care of patients with bacterial meningitis. Med. Klin.-Intensivmed Notfallmed., 111 (3). S. 215 - 223. NEW YORK: SPRINGER. ISSN 2193-6218
Full text not available from this repository.Abstract
Background. Bacterial meningitis is a life-threatening emergency that is still associated with high mortality and poor outcome. Objective. The purpose of this article is to provide a review of clinical presentation, diagnostic procedure, therapy, and prognosis in bacterial meningitis. Prognostic factors which could be influenced positively are identified and a focused procedure in the emergency setting and for the treatment of complications are provided. Material and methods. This work is based on a literature search (PubMed, guidelines) and personal experience (standard operating procedures, SOP). Results. Despite improved health care, bacterial meningitis is still associated with high mortality and poor neurological outcome, which has remained largely unaltered during recent decades. Diagnosis and, more importantly, effective therapy of bacterial meningitis are often delayed, having an immediate negative influence on clinical outcome. Neurological and nonneurological complications often necessitate intensive care and may occur rapidly or in the further course of the disease. Conclusion. Immediate initiation of effective therapy is crucial to positively influence mortality and neurological outcome. Antibiotics should be administered within 30 min after admission. To achieve this, a focused and well-organized procedure in the emergency setting is necessary. Because of intra- and extracranial complications, patients need to be treated on intensive care units including neurological expertise and interdisciplinary support.
Item Type: | Journal Article | ||||||||||||
Creators: |
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URN: | urn:nbn:de:hbz:38-279735 | ||||||||||||
DOI: | 10.1007/s00063-015-0021-3 | ||||||||||||
Journal or Publication Title: | Med. Klin.-Intensivmed Notfallmed. | ||||||||||||
Volume: | 111 | ||||||||||||
Number: | 3 | ||||||||||||
Page Range: | S. 215 - 223 | ||||||||||||
Date: | 2016 | ||||||||||||
Publisher: | SPRINGER | ||||||||||||
Place of Publication: | NEW YORK | ||||||||||||
ISSN: | 2193-6218 | ||||||||||||
Language: | German | ||||||||||||
Faculty: | Unspecified | ||||||||||||
Divisions: | Unspecified | ||||||||||||
Subjects: | no entry | ||||||||||||
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Refereed: | Yes | ||||||||||||
URI: | http://kups.ub.uni-koeln.de/id/eprint/27973 |
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