Tacon Catherine L, Flower Oliver
Sydney Children's Hospital, Randwick, NSW, Australia.
Emerg Med Int. 2012;2012:320309. doi: 10.1155/2012/320309. Epub 2012 Sep 20.
Paediatric bacterial meningitis is a neurological emergency which, despite advances in medical management, still has a significant morbidity and mortality. Over recent decades new vaccines have led to a change in epidemiology of the disease; however, it remains a condition that requires a high index of suspicion, prompt diagnosis, and early management in the emergency department. New laboratory techniques and clinical tools are aiding the diagnosis of bacterial meningitis, yet some controversies still exist in its management. This paper outlines the changing epidemiology of the disease, current diagnostic techniques as well as controversies and advances in the management of bacterial meningitis in the paediatric population.
小儿细菌性脑膜炎是一种神经系统急症，尽管在医疗管理方面取得了进展，但仍具有较高的发病率和死亡率。近几十年来，新疫苗导致了该疾病流行病学的变化；然而，它仍然是一种在急诊科需要高度怀疑、及时诊断和早期管理的病症。新的实验室技术和临床工具有助于细菌性脑膜炎的诊断，但在其管理方面仍存在一些争议。本文概述了该疾病不断变化的流行病学、当前的诊断技术以及小儿细菌性脑膜炎管理方面的争议和进展。
