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Acute bacterial meningitis in infants and children
Summary Bacterial meningitis continues to be an important cause of mortality and morbidity in neonates and children throughout the world. The introduction of the protein conjugate vaccines against Haemophilus influenzae type b, Streptococcus pneumoniae , and Neisseria meningitidis has changed the ep...
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Published in: | The Lancet infectious diseases 2010, Vol.10 (1), p.32-42 |
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description | Summary Bacterial meningitis continues to be an important cause of mortality and morbidity in neonates and children throughout the world. The introduction of the protein conjugate vaccines against Haemophilus influenzae type b, Streptococcus pneumoniae , and Neisseria meningitidis has changed the epidemiology of bacterial meningitis. Suspected bacterial meningitis is a medical emergency and needs empirical antimicrobial treatment without delay, but recognition of pathogens with increasing resistance to antimicrobial drugs is an important factor in the selection of empirical antimicrobial regimens. At present, strategies to prevent and treat bacterial meningitis are compromised by incomplete understanding of the pathogenesis. Further research on meningitis pathogenesis is thus needed. This Review summarises information on the epidemiology, pathogenesis, new diagnostic methods, empirical antimicrobial regimens, and adjunctive treatment of acute bacterial meningitis in infants and children. |
doi_str_mv | 10.1016/S1473-3099(09)70306-8 |
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The introduction of the protein conjugate vaccines against Haemophilus influenzae type b, Streptococcus pneumoniae , and Neisseria meningitidis has changed the epidemiology of bacterial meningitis. Suspected bacterial meningitis is a medical emergency and needs empirical antimicrobial treatment without delay, but recognition of pathogens with increasing resistance to antimicrobial drugs is an important factor in the selection of empirical antimicrobial regimens. At present, strategies to prevent and treat bacterial meningitis are compromised by incomplete understanding of the pathogenesis. Further research on meningitis pathogenesis is thus needed. This Review summarises information on the epidemiology, pathogenesis, new diagnostic methods, empirical antimicrobial regimens, and adjunctive treatment of acute bacterial meningitis in infants and children.</description><identifier>ISSN: 1473-3099</identifier><identifier>EISSN: 1474-4457</identifier><identifier>DOI: 10.1016/S1473-3099(09)70306-8</identifier><identifier>PMID: 20129147</identifier><identifier>CODEN: LANCAO</identifier><language>eng</language><publisher>London: Elsevier Ltd</publisher><subject>Anti-Bacterial Agents - therapeutic use ; Bacteria ; Bacterial diseases ; Bacterial diseases of the nervous system. Bacterial myositis ; Biological and medical sciences ; Child ; Epidemiology ; Human bacterial diseases ; Humans ; Infant ; Infants ; Infectious Disease ; Infectious diseases ; Medical sciences ; Meningitis, Bacterial - drug therapy ; Meningitis, Bacterial - epidemiology ; Meningitis, Bacterial - microbiology ; Neonates</subject><ispartof>The Lancet infectious diseases, 2010, Vol.10 (1), p.32-42</ispartof><rights>Elsevier Ltd</rights><rights>2010 Elsevier Ltd</rights><rights>2015 INIST-CNRS</rights><rights>2010 Elsevier Ltd. 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The introduction of the protein conjugate vaccines against Haemophilus influenzae type b, Streptococcus pneumoniae , and Neisseria meningitidis has changed the epidemiology of bacterial meningitis. Suspected bacterial meningitis is a medical emergency and needs empirical antimicrobial treatment without delay, but recognition of pathogens with increasing resistance to antimicrobial drugs is an important factor in the selection of empirical antimicrobial regimens. At present, strategies to prevent and treat bacterial meningitis are compromised by incomplete understanding of the pathogenesis. Further research on meningitis pathogenesis is thus needed. 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subjects | Anti-Bacterial Agents - therapeutic use Bacteria Bacterial diseases Bacterial diseases of the nervous system. Bacterial myositis Biological and medical sciences Child Epidemiology Human bacterial diseases Humans Infant Infants Infectious Disease Infectious diseases Medical sciences Meningitis, Bacterial - drug therapy Meningitis, Bacterial - epidemiology Meningitis, Bacterial - microbiology Neonates |
title | Acute bacterial meningitis in infants and children |
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