BACTERIAL MENINGEAL SCORE (BMS) SEBAGAI INDIKATOR MENINGITIS BAKTERI DI RSUP DR. SARDJITO YOGYAKARTA
| Main Authors: | , ARYDINA, , DR. dr. E. Siti Herini, Sp.AK |
|---|---|
| Format: | Thesis NonPeerReviewed |
| Terbitan: |
[Yogyakarta] : Universitas Gadjah Mada
, 2013
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| Subjects: | |
| Online Access: |
https://repository.ugm.ac.id/118821/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=58797 |
Daftar Isi:
- Bacterial meningitis remains an important cause of morbidity and mortality in children. Children with meningitis are routinely admitted to the hospital and administered broad-spectrum antibiotics pending culture results because distinguishing bacterial meningitis from aseptic meningitis is often difficult. Some indicators can different bacterial meningitis from viral. One of the indicator is Bacterial Meningitis Score (BMS). BMS consist of positive cerebrospinal fluid (CSF) gram stain, CSF absolute neutrophil count more than 1000 cells/Î1⁄4L, CSF protein more than 80 mg/dL, peripheral blood absolute neutrophil count more than 10 000 cells/Î1⁄4L, history of seizure before or at the time of presentation. The main of this research is to know whether the Bacterial Meningitis Score(BMS) is good indicator of bacterial meningitis in children. This is a diagnostic test study of children, > 1 month-18 years, who diagnosed as suspected meningitis by WHO criteria, admitted to Sardjito hospital in 1 February until 30 April, 2011. Bacterial meningitis were defined as having a positive culture of CSF, not meningitis if the absence of bacterial growth on culture. There are 31 children, 16 (51,6%) male. All the cases have fever (100%), seizure 93,5%, decreased of conciousness 48,8%, positive meningeal sign 58,4%, positive CSF gram stain 29%, positive culture of CSF 38,7%. The sensitivity of BMS 83,3%, spesificity 89,5%, negative predictive value 83,3%, positif predictive value 89,5%, positif likelihood ratio 7,92, and negatif likelihood ratio 0,186. The organisms growth on culture are P. Aerogenosa, S.epidermidis and Paracoccus sp, Bacillus. Sp and Enterococcus sp.