Sensitivity of the bacterial meningitis score in 889 children with bacterial meningitis

被引：42

作者：

Dubos, Francois ^{[1
,2
,3
,4
,6
]}

De la Rocque, France ^{[5
]}

Levy, Corinne ^{[5
]}

Bingen, Edouard ^{[5
]}

Aujard, Yannick ^{[5
]}

Cohen, Robert ^{[5
]}

Breart, Gerard ^{[6
]}

Gendrel, Dominique ^{[1
,2
]}

Chalumeau, Martin ^{[1
,2
,6
]}

机构：

[1] Hop St Vincent de Paul, Dept Pediat, Clin Epidemiol Unit, AP HP, F-75014 Paris, France

[2] Paris Descartes Univ, Paris, France

[3] Univ Lille 2, Lille, France

[4] CHU Lille, Jeanne de Flandre Hosp, Pediat Emergency & Infect Dis Unit, F-59037 Lille, France

[5] GPIP ACTIV Bacterial Meningitis French Surveillan, Assoc Clin & Therapeut Infantile Val de Marne, Grp Pathol Infect Pediat, St Maur des Fosses, France

[6] INSERM, U149, Paris, France

来源：

JOURNAL OF PEDIATRICS | 2008年 / 152卷 / 03期

关键词：

D O I：

10.1016/j.jpeds.2007.07.012

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Objective To validate sensitivity of the bacterial meningitis score (BMS) in a large population of children with bacterial meningitis (BM). Study design Secondary analysis of prospective data for children presenting with BM to a hospital emergency department between January 2001 and February 2005. The BMS was applied to all children with acute BM using the same inclusion criteria proposed by the authors of the rule. The sensitivity of the rule was calculated. Results Of the 900 children aged 29 days to 18 years with acute BM who met all inclusion criteria, 889 had enough data for assigning the BMS. Use of the BMS correctly identified 884 children with BM, for 99.6% sensitivity (95% confidence interval: 98.9% to 99.8%). Conclusions The sensitivity of the BMS to detect disease was very high, but a few cases of BM were missed. Further refinements of the BMS may be warranted to lower the false-negative rate.

引用

页码：378 / 382

页数：5

共 27 条

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