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Therapy of community-acquired acute bacterial meningitis: the clock is running.

机译:社区获得性急性细菌性脑膜炎的治疗:时钟在运转。

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摘要

Despite antibiotic therapy and supportive intensive medical care, bacterial meningitis remains a disease with high mortality and morbidity. Rapid recognition of symptoms is crucial to direct physicians quickly towards appropriate diagnostic measures and, initially, empiric antibiotic therapy. It has become evident that time from arrival at the hospital to application of the first dose of antibiotics is a crucial independent factor that influences outcome. Here, we review the clinical and laboratory presentation of community-acquired bacterial meningitis and the antibiotic regiments that are currently recommended for its treatment; future therapeutic options are also discussed. Finally, suggestions for the approach to a patient with suspected bacterial meningitis are presented.
机译:尽管进行了抗生素治疗和支持性的重症监护,细菌性脑膜炎仍然是一种具有高死亡率和高发病率的疾病。症状的快速识别对于快速指导医生采取适当的诊断措施以及最初的经验性抗生素治疗至关重要。显而易见的是,从到达医院到应用第一剂抗生素的时间是影响结果的关键独立因素。在这里,我们回顾了社区获得性细菌性脑膜炎的临床和实验室表现以及目前推荐用于治疗的抗生素方案;还讨论了未来的治疗选择。最后,提出了对疑似细菌性脑膜炎患者的治疗方法的建议。

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