How to diagnose bacterial meningitis?

summary

Bacterial meningitis is a serious infectious disease with high mortality and sequelae. Timely and effective antibacterial treatment on the basis of fully considering the characteristics of etiology, antibacterial drugs and pharmacology is the guarantee to improve the cure rate, reduce the mortality and reduce the sequelae. How to diagnose bacterial meningitis? Next, I'd like to share my views with you.

How to diagnose bacterial meningitis?

Due to the high mortality of bacterial meningitis, especially Neisseria meningitis can cause death within a few hours, we must pay great attention to it. The possibility of this disease should be considered in children over two years old with fever, irritability, drowsiness, refeeding, vomiting, convulsions and neck rigidity. Antibiotics should be given before the results of the examination.

Special attention should be paid to abnormal rash (usually red or purple spots), cyanosis, neck rigidity and other meningeal irritation signs during physical examination. One sign is that when the child's head is bent toward the chest, the hip and knee cannot bend autonomously; Another is when the child's thigh flexion, the doctor to straighten the bending of the knee has greater resistance.

In order to diagnose bacterial meningitis and determine the pathogen, lumbar puncture can be done. Cerebrospinal fluid (CSF) was extracted to check the sugar, protein, white blood cell count and classification, pathogen, and culture, so as to treat different pathogens with different antibiotics.

matters needing attention

Should eat low-fat, high fiber nutritious diet, try to avoid sugar and processed food, vitamins are also very useful. Vitamin A (2500-10000 IU per day), compound vitamin B (500 mg, 3 times a day) and vitamin C (500-2000 mg per day). Avoid stimulating spicy food.