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Klein, Matthias und Pfister, Hans-Walter (2016): Neues zur akuten bakteriellen Meningitis. In: Deutsche Medizinische Wochenschrift, Bd. 141, Nr. 7: S. 470-473

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Abstract

In patients with clinically suspected acute bacterial meningitis, physicians should aim for a quick diagnostic workup including lumbar puncture. Cerebral imaging before lumbar puncture is only indicated in patients with focal neurologic deficits, impaired consciousness, epileptic seizures within one week before presentation or a history of immunosuppression. One important prognostic factor is a rapid initiation of an empiric antibiotic therapy which should best be started within 1 hour after hospital admission.

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