Universität zu Köln

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

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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:	Creators Email ORCID ORCID Put Code Stetefeld, H. R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Dohmen, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED
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
Uncontrolled Keywords:	Keywords Language PNEUMOCOCCAL MENINGITIS; CEREBROSPINAL-FLUID; PRACTICE GUIDELINES; LUMBAR PUNCTURE; ADULTS; DEXAMETHASONE; ANTIBIOTICS; MULTICENTER; MANAGEMENT; THERAPY Multiple languages Medicine, General & Internal Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/27973