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- Title
Indicators of acute bacterial meningitis in children at a rural Kenyan district hospital.
- Authors
Berkley, James A; Versteeg, Anne C; Mwangi, Isaiah; Lowe, Brett S; Newton, Charles R J C
- Abstract
Acute bacterial meningitis remains an important cause of death and neurologic sequelae in African children. The clinical features of meningitis are often nonspecific and in this setting may overlap with those of malaria. Early diagnosis and appropriate antibiotic treatment are perhaps the most important steps in management, but published data suggest that fewer than half of the cases of childhood meningitis are identified at first assessment in hospitals in this region. The objective of this study was to identify clinical indicators of acute bacterial meningitis by examining components of the World Health Organization Integrated Management of Childhood Illness (IMCI) referral criteria for meningitis (lethargy, unconsciousness, inability to feed, stiff neck, or seizures) and other symptoms and signs.
- Publication
Pediatrics, 2004, Vol 114, Issue 6, pe713
- ISSN
1098-4275
- Publication type
Journal Article
- DOI
10.1542/peds.2004-0007