De Mol P, Levy J
J Infect. 1981 Mar;3(1 Suppl):21-6. doi: 10.1016/s0163-4453(81)80004-7.
Precise bacteriological diagnosis in acute meningitis is sometimes difficult. The present study, in which 59 of 97 children received chemotherapy for presumptive bacterial meningitis and of whom only 40 were subsequently proved to have a bacterial aetiology, reflects this. The diagnostic data from these 97 patients have therefore been reviewed in an attempt to identify factors which may assist discrimination of bacterial from non-bacterial meningitis. A decision plan for the management of suspected bacterial meningitis, based on these results, is suggested.
急性脑膜炎的精确细菌学诊断有时颇具难度。在本研究中，97名儿童中有59名因疑似细菌性脑膜炎接受了化疗，而其中仅有40名随后被证实为细菌性病因，这一情况反映了上述问题。因此，对这97名患者的诊断数据进行了回顾，以试图找出有助于区分细菌性脑膜炎和非细菌性脑膜炎的因素。基于这些结果，提出了一份疑似细菌性脑膜炎管理的决策方案。
